NICKOLAS R WILLETTE ABOC NCLC LDO NPI 1093104861

NPI Information

NPI: 1093104861
Provider Name: NICKOLAS R WILLETTE, ABOC, NCLC, LDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
1502 LOCUST ST
FALL RIVER, MA
ZIP 02723
Phone: (774) 276-5703
Get Directions

Nickolas R Willette, ABOC, NCLC, LDO is an optician technician technologist in Fall River, MA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Nickolas R Willette, ABOC, NCLC, LDO NPI is 1093104861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1502 LOCUST ST
FALL RIVER, MA
ZIP 02723-719
Phone: (774) 276-5703
Fax: (888) 492-9389

The enumeration date for this NPI number is 1/16/2015 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	6426	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46-1793649	OTHER		TID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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