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Contact Information

NICHOLAS E BEM, OD
27TH SPECIAL OPERATIONS MEDICAL GROUP
224 W D.L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM88103
 Phone: 575-904-3881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NICHOLAS E BEM · (Male)

NPI Number 1164823142
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/10/2014
Last updated 03/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11106297-9934
  • NC Other 2376 NC BOARD OF OPTOMETRY
  • UT Other 11106297-9934 STATE OF UTAH DEPARTMENT OF COMMERCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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