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Search › Maryland › 152W00000X

Philip Nicholson, O.D

NPI 1184813974 · on the registry since 2007 · sole proprietor

Practice

Address
10925 Baltimore Ave
Optical Department
Beltsville, MD 20705
Phone
(301) 595-9041
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WV0400X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland