| Dr Philip Leroy Nicholson, OD | |
|
10925 Baltimore Ave, Optical Department, Beltsville, MD 20705-2117 | |
| (301) 595-9041 | |
| Not Available |
| Full Name | Dr Philip Leroy Nicholson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 10925 Baltimore Ave, Beltsville, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184813974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA1322 (Maryland) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | TA1322 (Maryland) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip Leroy Nicholson, OD 17904 Georgia Ave, Suite 203, Olney, MD 20832-2239 Ph: (301) 595-9041 | Dr Philip Leroy Nicholson, OD 10925 Baltimore Ave, Optical Department, Beltsville, MD 20705-2117 Ph: (301) 595-9041 |
Lauren Watson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10925 Baltimore Ave, Beltsville, MD 20705 Phone: 301-595-9041 | |
Dr. Catherine Madsen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10925 Baltimore Ave, Beltsville, MD 20705 Phone: 301-595-5959 |