| Doctor Name: | MR. NICHOLAS JAMES COX |
| NPI Number: | 1376711739 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ABO |
| License Number: | |
| Business Practice Address: | 3705 Midway Dr Baker City, OR - 978141456 |
| Business Phone Number: | 5415232020 |
| Business Fax Number: | 5415234965 |
| Mailing Address: | 3705 Midway Dr, BAKER CITY |
| State: | OR |
| Postal Code: | 978141456 |
| Phone Number: | 5415232020 |
| Fax Number: | 5415234965 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 05/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |