| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICHOLE HABERKORN | 1023545985 | 2021-10-10 |
Nichole G Haberkorn [F] graduated in 2017 and primarily specializes in Optometry.
Nichole Haberkorn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023545985. Registration indicates Nichole Haberkorn is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| PECOS ID | 1658627997 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Nichole Haberkorn OD |
| Practice Office Address | 101 VERDAE BLVD STE 160 GREENVILLE, SC US |
| Practice Office Telephone | 8646761123 |
| Practice Office Fax | 8646753835 |
| Mailing Address | 101 VERDAE BLVD STE 160 GREENVILLE, SC 296073836 US |
| Business Telephone | 8646761123 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 10110 Two Notch Rd | Columbia, SC 292234383 | 8645413509 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 1985
SC |