DR. PHILIP LEROY NICHOLSON O.D.
NPI 1184813974
Optometrist in Beltsville, MD

Q: What is Philip Nicholson's NPI number?

The NPI number for Philip Nicholson is 1184813974. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Q: What is Philip Nicholson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Nicholson was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2007

10925 BALTIMORE AVE, OPTICAL DEPARTMENT, BELTSVILLE, MD 20705(301) 595-9041 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Philip Leroy Nicholson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP LEROY NICHOLSON O.D. (NPI 1184813974) is an individual optometrist in Beltsville, Maryland, licensed in Maryland (TA1322) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1184813974

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. PHILIP LEROY NICHOLSONCredential: O.D.

Location Address10925 BALTIMORE AVE, OPTICAL DEPARTMENTBeltsville, MD 20705-2117

Mailing Address17904 Georgia Ave, Suite 203Olney, MD 20832-2239 · (301) 595-9041

Phone(301) 595-9041

Sole ProprietorYes

Enumeration DateOctober 17, 2007

✔ NPI 1184813974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MD · TA1322

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License TA1322 (MD)

10925 BALTIMORE AVE, Beltsville, MD 20705

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Other Identifiers 1

Medicare UPINU57138MD

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN WATSON OD

Optometrist