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
Fax: (954) 463-7643
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417067851 NPPES
Florida Other OPC1638 FL BOARD CERTIFICATION #

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