Individual provider · Type 1 NPI
Benjamin P. Nicholson, MD, M.A.
Retina Specialist (Ophthalmology) Physician · St. Joseph, MI
NPI number
1003016916
Active
Practice location
2848 Niles Rd
St. Joseph, MI 49085-3352
Fax (269) 428-5005
Other practice locations
- 3550 Park Pl W Ste 200, Mishawaka, IN 46545-3573 · (574) 222-1403
- 120 Longmeadow Village Dr, Niles, MI 49120-7808 · (269) 684-6400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 4301106941 (MI) |
| Ophthalmology Physician | 207W00000X | 4301106941 (MI) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
16 other providers at this address
- Great Lakes Eye Care PCOphthalmology Physician St. Joseph, MI NPI 1922002708
- Great Lakes Surgery Center LLCAmbulatory Surgical Clinic/Center St. Joseph, MI NPI 1003273129
- Lakeshore Anesthesia Staffing LLCCertified Registered Nurse Anesthetist St. Joseph, MI NPI 1255781019
- Alexander Ray Stoddard, MDOphthalmology Physician St. Joseph, MI NPI 1437651676
- Andrew Manongdo Wang, MDOphthalmology Physician St. Joseph, MI NPI 1992701098
- Daniel James Van Elk, ODOptometrist St. Joseph, MI NPI 1194216937
- David Locke Cooke, MDOphthalmology Physician St. Joseph, MI NPI 1942205315
- David Neal Brown, MDOphthalmology Physician St. Joseph, MI NPI 1265437370
- Duane Allen Tolsma, ODOptometrist St. Joseph, MI NPI 1306841630
- Jenna Elise Stoddard, ODOptometrist St. Joseph, MI NPI 1184101602
- John W. Marohn, ODOptometrist St. Joseph, MI NPI 1548265879
- Macgregor Hall, MDCornea and External Diseases Specialist Physician St. Joseph, MI NPI 1962035741
About NPI 1003016916
Benjamin P. Nicholson, MD, M.A.'s National Provider Identifier is 1003016916, issued on Jul 19, 2007. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in St. Joseph, MI. The record was last updated on Oct 15, 2026.