Eric Owen Nicholls, OD

Optometrist · Johnsburg, IL

Individual Active NPI

NPI number 1821189051

Practice location

3801 Running Brook Farm Blvd
Johnsburg, IL 60051-5425
Phone
(815) 385-9224

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NPI record

NPI
1821189051
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
October 5, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 46009345 IL
Corneal and Contact Management Optometrist 152WC0802X 46009345 IL

Mailing address

35298 N Sheridan Dr
Ingleside, IL 60041-8760
Phone
(847) 858-6748

About Dr. Nicholls

Eric Owen Nicholls, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425. The NPI number 1821189051 was assigned on September 26, 2006 and the record was last updated on October 5, 2016.

Dr. Nicholls lists 2 licenses in the registry: #46009345 (IL) for Optometrist; #46009345 (IL) for Corneal and Contact Management Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric Owen Nicholls, OD?

The NPI number is 1821189051.

What is the phone number of Dr. Nicholls?

The phone number listed for the practice location is (815) 385-9224.

Where is Dr. Nicholls located?

3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425.

What is the taxonomy code for Dr. Nicholls?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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