NPI 1104974401

Dennis Earl Nielson, OD

Practitioner Optometrist Meridian, ID

Practice location

Address: 1012 N Main St, Meridian, ID 83642-2304
Phone: (208) 888-5252
Mailing address: 2804 S Goshen Way, Boise, ID 83709-8570

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-498 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1104974401
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2007
Record last updated: 17 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.