Craig L. Nielsen, O.D.

LBN: Craig L. Nielsen, O.D.
Craig L. Nielsen, O.D. is an health care organization with primary practice located at 105 Broad St , Meriden CT 06450-6516. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Craig L. Nielsen, O.D. can be contacted via phone (203) 235-9519, or through Nielsen, Craig L. via phone (203) 235-9519.

Contact Information

Primary practice address
105 Broad St Meriden CT 06450-6516
Phone: (203) 235-9519
Fax: (203) 237-3819
Website:
Map and Directions
Authorized official contact:
Name: Nielsen, Craig L. Doctor of Optometry (OD)
Phone: (203) 235-9519

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002189 Connecticut

Profile Details

NPI number 1861691685
LBN Legal business name Craig L. Nielsen, O.D.
DBA Doing business as
Authorized official Nielsen, Craig L. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Mar 26th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861691685 NPPES
Connecticut MEDICAID 004086650

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