Active NPIIndividual providerSole proprietor

Nickolas R Willette, ABOC, NCLC, LDO

Technician/Technologist, Optician in Fall River, Massachusetts

NPI Number1093104861
Practice location
1502 Locust St, Fall River, MA 02723-2719
Fax
888-492-9389
Last updated
January 27, 2015

Nickolas R Willette is a Technician/Technologist, Optician based in Fall River, MA. Nickolas R Willette practices in Fall River, MA and has the professional credentials of ABOC, NCLC, LDO. The NPI Number for Nickolas R Willette is 1093104861 and holds a License No. 6426 (MA). The current practice location address for Nickolas R Willette is 1502 Locust St, Fall River, MA 02723-2719 and can be reached out via phone at 774-276-5703 and via fax at 888-492-9389.

Provider Profile Details

NPI Number
1093104861
Provider Name
Nickolas R Willette
Credential
ABOC, NCLC, LDO
Provider Entity Type
Individual
Gender
Male
Address
1502 Locust St, Fall River, MA 02723-2719
Phone Number
774-276-5703
Fax Number
888-492-9389
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2015
Last Update Date
January 27, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1502 Locust St
Fall River, MA 02723-2719
Zip
02723-2719
Phone Number
774-276-5703
Fax Number
888-492-9389
Fall River, MA 02723Get directions →

Provider Business Mailing Address Details

Address
1502 Locust St
Fall River, MA 02723-2719
City
Fall River
State
MA
Zip
02723-2719
Phone Number
774-276-5703
Fax Number
888-492-9389

License Information

License Number
6426
License State
MA
Taxonomy
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nickolas R Willette, ABOC, NCLC, LDO?

The NPI number of Nickolas R Willette, ABOC, NCLC, LDO is 1093104861. It was assigned on January 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Nickolas R Willette, ABOC, NCLC, LDO?

Nickolas R Willette, ABOC, NCLC, LDO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 6426.

Where does Nickolas R Willette, ABOC, NCLC, LDO practice?

The practice location is 1502 Locust St, Fall River, MA 02723-2719. The office can be reached at 774-276-5703 (phone) or 888-492-9389 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093104861 directly on the NPPES registry website.

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