Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC DOUGLAS NIELSEN, O.D.
ActiveDR. ERIC DOUGLAS NIELSEN, O.D. is a Optometrist healthcare provider located in MOUNTAIN HOME A F B, Idaho. NPI 1225020597 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MOUNTAIN HOME A F B, ID
Registration Details
- NPI Number
- 1225020597
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (20.96697280273 yrs)
- Last Updated
- Jul 20, 2007
- License
-
1184 (OK)
Practice Information
- Address
-
90 HOPE DROPTOMETRY CLINICMOUNTAIN HOME A F B, ID, 836481057Browse ID providers · Browse ZIP 83648
- Phone
- 2088287250
- Fax
- 2088281498
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.