Dr Philip Leroy Nicholson, OD is a
Optometrist based in Beltsville, Maryland. Dr Philip Leroy Nicholson is licensed to practice in Maryland (license number TA1322) and his current practice location is
10925 Baltimore Ave, Optical Department, Beltsville, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 595-9041.
NPI number for Dr Philip Leroy Nicholson is 1184813974 and his current mailing address is 17904 Georgia Ave, Suite 203, Olney, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184813974.
Healthcare Provider's Profile
Full Name | Dr Philip Leroy Nicholson |
---|
Gender | Male |
---|
Speciality | Optometrist |
---|
Location | 10925 Baltimore Ave, Beltsville, Maryland |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184813974
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 10/17/2007
Medical Identifiers
Medical identifiers for Dr Philip Leroy Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184813974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA1322 (Maryland) | Primary |
152WV0400X | Optometrist - Vision Therapy | TA1322 (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Leroy Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Philip Leroy Nicholson, OD 17904 Georgia Ave, Suite 203, Olney, MD 20832-2239 Ph: (301) 595-9041 | Dr Philip Leroy Nicholson, OD 10925 Baltimore Ave, Optical Department, Beltsville, MD 20705-2117 Ph: (301) 595-9041 |
Reviews and Comments