| Thomas J Nicolai, OD | |
|
305 Elaines Ct, Dodgeville, WI 53533-2103 | |
| (608) 930-4362 | |
| (608) 930-4366 |
| Full Name | Thomas J Nicolai |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 305 Elaines Ct, Dodgeville, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346293792 | NPI | - | NPPES |
| 1346293792 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2383-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Nicolai, OD 305 Elaines Ct, Dodgeville, WI 53533-2103 Ph: (608) 930-4362 | Thomas J Nicolai, OD 305 Elaines Ct, Dodgeville, WI 53533-2103 Ph: (608) 930-4362 |
Claire J. Tashner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 305 Elaines Ct, Dodgeville, WI 53533 Phone: 608-930-4362 Fax: 608-930-4633 | |
Chelci S Schade, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 305 Elaines Ct, Dodgeville, WI 53533 Phone: 608-930-4362 Fax: 608-930-4366 |