Provider Demographics
NPI:1629303631
Name:FELDMAN, NICOLE E (OD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:E
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7563 S SAULSBURY CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5455
Mailing Address - Country:US
Mailing Address - Phone:303-519-9520
Mailing Address - Fax:
Practice Address - Street 1:5385 S 38TH AVE.
Practice Address - Street 2:
Practice Address - City:WHEATRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80212-8881
Practice Address - Country:US
Practice Address - Phone:303-476-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2721152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist