NPI 1073996112

Jennifer Lee Nichols, OD

Practitioner Optometrist Caledonia, MI

Practice location

Address: 9809 Cherry Valley Ave SE, Caledonia, MI 49316-9592
Phone: (616) 891-2020

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901004888 (MI)

Other Optometrist providers in Michigan →

Registry record

NPI: 1073996112
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2015
Record last updated: 21 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.