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NPI Code Detail

MEDICARE: OATMAN NILSEN & ASSOCIATES OPTOMETRISTS LTD

MEDICARE: OATMAN NILSEN & ASSOCIATES OPTOMETRISTS LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618000736VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1196402OTHERVAANTHEM BCBS

General Provider Information

NPI Number : 1235286402
Entity Type Code : Organization
Provider Name (Legal Business Name) : OATMAN NILSEN & ASSOCIATES OPTOMETRISTS LTD
Provider Business Mailing Address
First Line : 601 N COURTHOUSE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23236-4062
Country : US
Telephone Number : 804-858-2020
Fax Number :
Provider Business Practice Location Address
First Line : 601 N COURTHOUSE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23236-4062
Country : US
Telephone Number : 804-858-2020
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ERIC P. NILSEN
Credential : O.D.
Telephone Number : 804-858-2020
Provider Enumeration Date : 01/03/2007
Last Update Date : 09/22/2010

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Directions to “OATMAN NILSEN & ASSOCIATES OPTOMETRISTS LTD ” Practice Location

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