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

Nicholas Ryan Mairose, LDO

Individual provider Optician · NPI 1821815093

Nicholas Ryan Mairose, LDO is an Optician in Dry Ridge, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2024

Practice location Address checks out

20 Ferguson Blvd
Dry Ridge, KY 41035-8699
Phone: (859) 824-0724
Fax: (859) 824-0734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 110747 (KY)

Record details

NPI number1821815093
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedSeptember 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address20 Ferguson Blvd, Dry Ridge, KY 41035-8699

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