Provider Demographics
NPI:1194277574
Name:SEARBY, NICHOLAS CHRISTIAN (OD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:CHRISTIAN
Last Name:SEARBY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 CLEVELAND AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-2725
Mailing Address - Country:US
Mailing Address - Phone:707-483-4702
Mailing Address - Fax:
Practice Address - Street 1:2880 CLEVELAND AVE
Practice Address - Street 2:STE 5
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2725
Practice Address - Country:US
Practice Address - Phone:707-545-7350
Practice Address - Fax:707-545-1957
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33608TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist