Kyle W Nichols, OD
Optometrist in Mullica Hill, New Jersey
1225652654- Practice location
- 5 Myers Dr Ste 101, Mullica Hill, NJ 08062-9517
- Phone
- 856-845-7968
- Fax
- —
- Last updated
- April 23, 2025
Kyle Wayne Nichols is an Optometrist based in Mullica Hill, NJ. Kyle Wayne Nichols practices in Mullica Hill, NJ and has the professional credentials of OD. The NPI Number for Kyle Wayne Nichols is 1225652654 and holds a License No. OEG003675 (PA). The current practice location address for Kyle Wayne Nichols is 5 Myers Dr Ste 101, Mullica Hill, NJ 08062-9517 and can be reached out via phone at 856-845-7968.
Provider Profile Details
- NPI Number
- 1225652654
- Provider Name
- Kyle Wayne Nichols
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 Myers Dr Ste 101, Mullica Hill, NJ 08062-9517
- Phone Number
- 856-845-7968
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 1, 2020
- Last Update Date
- April 23, 2025
- Certification Date
- April 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Myers Dr Ste 101
Mullica Hill, NJ 08062-9517 - City
- Mullica Hill
- State
- New Jersey
- Zip
- 08062-9517
- Phone Number
- 856-845-7968
Provider Business Mailing Address Details
- Address
- 3046 Knights RD
Bensalem, PA 19020-2815 - City
- Bensalem
- State
- PA
- Zip
- 19020-2815
- Phone Number
- 215-639-4500
- Fax Number
- 215-604-0355
License Information
- License Number (1)
- OEG003675
- License State (1)
- PA
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 27OA00711200
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Mullica Hill, NJ
View all Optometrists in Mullica Hill →Frequently Asked Questions
What is the NPI number of Kyle W Nichols, OD?
The NPI number of Kyle W Nichols, OD is 1225652654. It was assigned on June 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Kyle W Nichols, OD?
Kyle W Nichols, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PA under license number OEG003675.
Where does Kyle W Nichols, OD practice?
The practice location is 5 Myers Dr Ste 101, Mullica Hill, NJ 08062-9517. The office can be reached at 856-845-7968 (phone).
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 1225652654 directly on the NPPES registry website.