Dr. Nickolas J Shissias, OD
Optometrist in West Berlin, New Jersey
1346689080- Practice location
- 204 Haddon Ave, West Berlin, NJ 08091-1607
- Phone
- 856-768-2515
- Fax
- 856-768-7451
- Last updated
- February 9, 2024
Nickolas J Shissias is an Optometrist based in West Berlin, NJ. Nickolas J Shissias practices in West Berlin, NJ and has the professional credentials of OD. The NPI Number for Nickolas J Shissias is 1346689080 and holds a License No. 14-0000066 (DE). The current practice location address for Nickolas J Shissias is 204 Haddon Ave, West Berlin, NJ 08091-1607 and can be reached out via phone at 856-768-2515 and via fax at 856-768-7451.
Provider Profile Details
- NPI Number
- 1346689080
- Provider Name
- Nickolas J Shissias
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 204 Haddon Ave, West Berlin, NJ 08091-1607
- Phone Number
- 856-768-2515
- Fax Number
- 856-768-7451
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 16, 2013
- Last Update Date
- February 9, 2024
- Certification Date
- February 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 204 Haddon Ave
West Berlin, NJ 08091-1607 - City
- West Berlin
- State
- New Jersey
- Zip
- 08091-1607
- Phone Number
- 856-768-2515
- Fax Number
- 856-768-7451
Provider Business Mailing Address Details
- Address
- 204 Haddon Ave
West Berlin, NJ 08091-1607 - City
- West Berlin
- State
- NJ
- Zip
- 08091-1607
- Phone Number
- 856-768-2515
- Fax Number
- 856-768-7451
License Information
- License Number (1)
- 14-0000066
- License State (1)
- DE
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 27OA00657600
- 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 West Berlin, NJ
View all Optometrists in West Berlin →- Alexandra K Mcarthur, ODOptometrist · NPI 1922584853
- Dr. Abby NelsonOptometrist · NPI 1962445775
- Dr. Joseph P Potosky, ODOptometrist · NPI 1629146295
- Dr. Marc Nelson, ODOptometrist · NPI 1295715241
- Dr. Nicole A Pellegrino, ODOptometrist · NPI 1982820817
- Nelson Eye Associates, P.c.Optometrist · NPI 1336384148
Frequently Asked Questions
What is the NPI number of Dr. Nickolas J Shissias, OD?
The NPI number of Dr. Nickolas J Shissias, OD is 1346689080. It was assigned on June 16, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Nickolas J Shissias, OD?
Dr. Nickolas J Shissias, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in DE under license number 14-0000066.
Where does Dr. Nickolas J Shissias, OD practice?
The practice location is 204 Haddon Ave, West Berlin, NJ 08091-1607. The office can be reached at 856-768-2515 (phone) or 856-768-7451 (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 1346689080 directly on the NPPES registry website.