Nickolas J Shissias, O.D. Valid NPI

Individual provider · Optometrist · West Berlin, NJ

NPI

1346689080

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

27OA00657600 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-06-16

Last updated

2024-02-09