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CHARLES RICHARD NICHOLSON O.D.
NPI 1962422253
Optometrist in Boise, ID

Active since July 20, 2006
11513 W FAIRVIEW AVE, SUITE 106, BOISE, ID 83713(208) 322-8439(208) 322-8433 Get Directions Write a Review

NPPES record last updated: January 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Richard Nicholson O.d. NPPES

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

CHARLES RICHARD NICHOLSON O.D. (NPI 1962422253) is an individual optometrist in Boise, Idaho, licensed in Idaho (ODP-100134) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962422253
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES RICHARD NICHOLSONCredential: O.D.
Location Address11513 W FAIRVIEW AVE, SUITE 106Boise, ID 83713-7886
Mailing Address11513 W Fairview Ave, Suite 106Boise, ID 83713-7886 · (208) 322-8439 · Fax (208) 322-8433
Phone(208) 322-8439
Fax(208) 322-8433
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 26, 2009
✔ NPI 1962422253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · ODP-100134
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.
11513 W FAIRVIEW AVE, Boise, ID 83713
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Other Identifiers 3

Other1590015ID · Medicare Ptan
Other000010162496ID · Regence Blue Shield
Medicare PIN1590015ID

Other Providers at the Same Location NPPES

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

CLEARVIEW FAMILY EYECARE PLLC
Optometrist
11513 W FAIRVIEW AVE, SUITE 106
BOISE, ID 83713
Ada County (208) 322-8439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Nicholson's NPI number?

The NPI number for Charles Nicholson is 1962422253. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Charles Nicholson located?

Charles Nicholson practices at 11513 W Fairview Ave Suite 106, Boise, ID 83713. The listed phone number is (208) 322-8439.

What is Charles Nicholson's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Nicholson was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.