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DR. DENNIS EARL NIELSON O.D. NPI 1104974401


NPI Information

NPI: 1104974401
Provider Name: DR. DENNIS EARL NIELSON, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
1012 N MAIN ST
MERIDIAN, ID
ZIP 83642
Phone: (208) 888-5252
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DR. Dennis Earl Nielson, O.D. is an optometrist in Meridian, ID. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Dennis Earl Nielson, O.D. NPI is 1104974401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1012 N MAIN ST
MERIDIAN, ID
ZIP 83642-304
Phone: (208) 888-5252

The enumeration date for this NPI number is 1/5/2007 and was last updated on 10/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristODP-498IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11590818MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2V7310OTHERIDAHOBLUE CROSS
30644950001OTHERIDAHODMERC
415254OTHERIDAHOBLUE SHIELD
5T44303MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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