NPI 1285907139

Nicholas Jon Hardgrave, OD

Practitioner Optometrist Apo, AP

Practice location

Address: 36th Medical Group-Andersen Afb Clinic/Optometry Unit 14010, Apo, AP 96543-4003
Phone: (671) 366-6749
Mailing address: PO Box 290702, Yigo, GU 96929-3041

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2733 (OK)

Other Optometrist providers in Armed Forces Pacific →

Registry record

NPI: 1285907139
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2012
Record last updated: 27 Aug 2012

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.