| Charles Richard Nicholson, OD | |
|
11513 W Fairview Ave, Suite 106, Boise, ID 83713-7886 | |
| (208) 322-8439 | |
| (208) 322-8433 |
| Full Name | Charles Richard Nicholson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 11513 W Fairview Ave, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962422253 | NPI | - | NPPES |
| 1590015 | Other | ID | MEDICARE PTAN |
| 000010162496 | Other | ID | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100134 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Richard Nicholson, OD 11513 W Fairview Ave, Suite 106, Boise, ID 83713-7886 Ph: (208) 322-8439 | Charles Richard Nicholson, OD 11513 W Fairview Ave, Suite 106, Boise, ID 83713-7886 Ph: (208) 322-8439 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |