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Charles Nicholson, O.D. — NPI 1962422253, Boise, ID | NPI Central

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NPI 1962422253

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Charles Nicholson, O.D.

NPI 1962422253 · Optometrist · Boise, ID

Provider details

NPI number: 1962422253
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: ODP-100134 (ID)

Practice location

11513 W Fairview Ave

Suite 106

Boise, ID 83713-7886

Phone: (208) 322-8439

Fax: (208) 322-8433

More ID providers

Mailing address

11513 W Fairview Ave

Boise, ID 83713-7886

Registry dates

Enumerated: 2006-07-20
Last updated: 2009-01-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.