Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Richard Nicholson, OD

Individual provider Optometrist · NPI 1962422253

Charles Richard Nicholson, OD is an Optometrist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11513 W Fairview Ave Ste 106
Boise, ID 83713-7886
Phone: (208) 322-8439
Fax: (208) 322-8433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100134 (ID)

Record details

NPI number1962422253
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJanuary 26, 2009

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