Provider Demographics
NPI:1013260066
Name:VAHAMAKI, NIKO OLAVI (OD)
Entity type:Individual
Prefix:
First Name:NIKO
Middle Name:OLAVI
Last Name:VAHAMAKI
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:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:EXMORE
Mailing Address - State:VA
Mailing Address - Zip Code:23350-0561
Mailing Address - Country:US
Mailing Address - Phone:757-442-5079
Mailing Address - Fax:757-442-4685
Practice Address - Street 1:3298 MAIN ST
Practice Address - Street 2:
Practice Address - City:EXMORE
Practice Address - State:VA
Practice Address - Zip Code:23350
Practice Address - Country:US
Practice Address - Phone:757-442-5079
Practice Address - Fax:757-442-4685
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14551152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist