<Unavail>

LBN: Nicolex Llc
<Unavail> is an health care organization with primary practice located at 14435 N 7Th St Ste 104, Phoenix AZ 85022-4371. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Nicolex Llc can be contacted via phone (602) 993-2727, or through Dominguez, Jesse Vincent via phone (623) 330-8723.

Contact Information

Primary practice address
14435 N 7Th St Ste 104 Phoenix AZ 85022-4371
Phone: (602) 993-2727
Fax: (602) 449-0681
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Jesse Vincent Doctor of Optometry (OD)
Phone: (623) 330-8723

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X AZ1210 Arizona

Profile Details

NPI number 1003221185
LBN Legal business name Nicolex Llc
DBA Doing business as <Unavail>
Authorized official Dominguez, Jesse Vincent Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Mar 13th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003221185 NPPES
Arizona MEDICAID 747561

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