Glenn R Nichols, DO
Technician/Technologist, Optician in South Deerfield, Massachusetts
1720100142- Practice location
- 16 King Philip Ave, South Deerfield, MA 01373-1127
- Phone
- 413-772-6337
- Fax
- 413-772-0841
- Last updated
- January 18, 2017
Glenn Robert Nichols is a Technician/Technologist, Optician based in South Deerfield, MA. Glenn Robert Nichols practices in South Deerfield, MA and has the professional credentials of DO. The NPI Number for Glenn Robert Nichols is 1720100142 and holds a License No. MA2078 (MA). The current practice location address for Glenn Robert Nichols is 16 King Philip Ave, South Deerfield, MA 01373-1127 and can be reached out via phone at 413-772-6337 and via fax at 413-772-0841.
Provider Profile Details
- NPI Number
- 1720100142
- Provider Name
- Glenn Robert Nichols
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 16 King Philip Ave, South Deerfield, MA 01373-1127
- Phone Number
- 413-772-6337
- Fax Number
- 413-772-0841
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2007
- Last Update Date
- January 18, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 King Philip Ave
South Deerfield, MA 01373-1127 - City
- South Deerfield
- State
- Massachusetts
- Zip
- 01373-1127
- Phone Number
- 413-772-6337
- Fax Number
- 413-772-0841
Provider Business Mailing Address Details
- Address
- 16 King Philip Ave
South Deerfield, MA 01373-1127 - City
- South Deerfield
- State
- MA
- Zip
- 01373-1127
- Phone Number
- 413-772-6337
- Fax Number
- 413-772-0841
License Information
- License Number
- MA2078
- License State
- MA
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Glenn R Nichols, DO?
The NPI number of Glenn R Nichols, DO is 1720100142. It was assigned on April 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Glenn R Nichols, DO?
Glenn R Nichols, DO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number MA2078.
Where does Glenn R Nichols, DO practice?
The practice location is 16 King Philip Ave, South Deerfield, MA 01373-1127. The office can be reached at 413-772-6337 (phone) or 413-772-0841 (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 1720100142 directly on the NPPES registry website.