DR. Dennis Earl Nielson, O.D.

NPI #1104974401 in Meridian, Idaho

Provider Information

NPI Number: 1104974401
Entity Type: Individual
Name: DR. Dennis Earl Nielson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 5, 2007
Last Updated: Oct 17, 2007

Practice Location

Address: 1012 N MAIN ST
City: Meridian
State: Idaho
ZIP Code: 83642-2304
Phone: (208) 888-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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