Provider Demographics
NPI:1770636961
Name:NOWICKI, ADRIENNE PRITCHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:PRITCHARD
Last Name:NOWICKI
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 1:15160 WHITES MILL RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-1820
Mailing Address - Country:US
Mailing Address - Phone:276-628-5024
Mailing Address - Fax:
Practice Address - Street 1:220 CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-6721
Practice Address - Country:US
Practice Address - Phone:423-968-2020
Practice Address - Fax:423-968-2021
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001594152W00000X
TN2465152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist