Fidler, Craig Allen
Fidler, Craig Allen is an sole proprietor health care provider with primary practice located at 2120 S Federal Hwy , Fort Lauderdale FL 33316-3545. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Fidler, Craig Allen can be contacted via phone (954) 467-3777.Contact Information
Primary practice address
2120 S Federal Hwy
Fort Lauderdale FL 33316-3545
Phone: (954) 467-3777
Fax: (954) 463-7643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC001638 | Florida |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC1638 | Florida |
Profile Details
NPI number | 1417067851 |
---|---|
LBN Legal business name | Fidler, Craig Allen |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2006 |
Last updated | Jan 14th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417067851 | NPPES |
Florida | Other | OPC1638 | FL BOARD CERTIFICATION # |
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