Wilson, Nicole

Wilson, Nicole is an individual health care provider with primary practice located at 200 Costco Way , Saint Peters MO 63376-4385. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wilson, Nicole can be contacted via phone (636) 970-4007.

Contact Information

Primary practice address
200 Costco Way Saint Peters MO 63376-4385
Phone: (636) 970-4007
Fax: (314) 269-0325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.011340L Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 2019019708 Missouri

Profile Details

NPI number 1154973220
LBN Legal business name Wilson, Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2019
Last updated Mar 8th, 2022 - about 4 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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