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Contact Information

NICHOLAS ROOVERS, OD
230 N WISCONSIN ST
DE PERE, WI54115
 Phone: 920-336-3390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NICHOLAS ROOVERS · (Male)

NPI # 1457843161
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/30/2018
Last updated 08/14/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3502-35
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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