DR. Eric Douglas Nielsen, O.D.

NPI #1225020597 in Mountain Home a F B, Idaho

Provider Information

NPI Number: 1225020597
Entity Type: Individual
Name: DR. Eric Douglas Nielsen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 22, 2005
Last Updated: Jul 20, 2007

Practice Location

Address: 90 HOPE DR
Address 2: OPTOMETRY CLINIC
City: Mountain Home a F B
State: Idaho
ZIP Code: 83648-1057
Phone: (208) 828-7250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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