Active NPIIndividual provider

Dr. Nicky Despotidis, OD

Optometrist in Hamilton Square, New Jersey

NPI Number1801091129
Practice location
1777 Kuser RD, Hamilton Square, NJ 08690-3703
Fax
609-581-7055
Last updated
September 19, 2007

Nicky Despotidis is an Optometrist based in Hamilton Square, NJ. Nicky Despotidis practices in Hamilton Square, NJ and has the professional credentials of OD. The NPI Number for Nicky Despotidis is 1801091129 and holds a License No. 270A00469400 (NJ). The current practice location address for Nicky Despotidis is 1777 Kuser RD, Hamilton Square, NJ 08690-3703 and can be reached out via phone at 609-581-5755 and via fax at 609-581-7055.

Provider Profile Details

NPI Number
1801091129
Provider Name
Nicky Despotidis
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1777 Kuser RD, Hamilton Square, NJ 08690-3703
Phone Number
609-581-5755
Fax Number
609-581-7055
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
-- Nicholas Despotidis (Other Name)
Provider Enumeration Date
June 18, 2007
Last Update Date
September 19, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1777 Kuser RD
Hamilton Square, NJ 08690-3703
Zip
08690-3703
Phone Number
609-581-5755
Fax Number
609-581-7055
Hamilton Square, NJ 08690Get directions →

Provider Business Mailing Address Details

Address
11 Leonard Dr
Morganville, NJ 07751-1664
City
Morganville
State
NJ
Zip
07751-1664
Phone Number
732-972-3275

License Information

License Number
270A00469400
License State
NJ
Taxonomy
Optometrist · 152W00000X · 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 Dr. Nicky Despotidis, OD?

The NPI number of Dr. Nicky Despotidis, OD is 1801091129. It was assigned on June 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicky Despotidis, OD?

Dr. Nicky Despotidis, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 270A00469400.

Where does Dr. Nicky Despotidis, OD practice?

The practice location is 1777 Kuser RD, Hamilton Square, NJ 08690-3703. The office can be reached at 609-581-5755 (phone) or 609-581-7055 (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 1801091129 directly on the NPPES registry website.

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