Dr. Tanya G. Nicholson
Optometrist
1250 E Magnolia St Located In Wal-Mart
Ft Collins
, Colorado 80524-2754
Dr. Tanya G. Nicholson
Optometrist
1250 E Magnolia St Located In Wal-Mart
Ft Collins
, Colorado 80524-2754
(303) 818-1852
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Tanya G. Nicholson
- 396 N Snowmass Cir
- Superior, CO
- Zip : 80027-6124
- Phone : (303) 818-1852
Second Address
- Dr. Tanya G. Nicholson
- 1250 E Magnolia St Located In Wal-Mart
- Ft Collins, CO
- Zip : 80524-2754
- Fax : (970) 493-9309
- Phone : (970) 224-0606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2094 | CO |
National Provider Identifier
| NPI | 1003877937 |
|---|---|
| Provider Name | Dr. Tanya G. Nicholson |
| First Address | Superior, CO 80027-6124 |
| Second Address | Ft Collins, CO 80524-2754 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U87557 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.