Gilmore, Nicholas Roy

Gilmore, Nicholas Roy is an individual health care provider with primary practice located at 224 S Main St , Milbank SD 57252-1809. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gilmore, Nicholas Roy can be contacted via phone (605) 432-6666.

Contact Information

Primary practice address
224 S Main St Milbank SD 57252-1809
Phone: (605) 432-6666
Fax: (605) 432-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2813 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 583 South Dakota

Profile Details

NPI number 1124079223
LBN Legal business name Gilmore, Nicholas Roy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated May 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124079223 NPPES
South Dakota MEDICAID 9200872
South Dakota MEDICAID 662688200

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