IndividualActive
Benjamin Nicholson, M.D., M.A.
NPI 1003016916 · Retina Specialist (Ophthalmology) Physician · Saint Joseph, MI
Provider details
- NPI number
- 1003016916
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301106941 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2848 Niles Rd
Saint Joseph, MI 49085-3352
Phone: (269) 428-3300
Fax: (269) 428-5005
Approximate (ZIP-level) locationGet directions
Mailing address
2848 Niles Rd
Saint Joseph, MI 49085-3352
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.