Gould, Nelson Leonard
Gould, Nelson Leonard is an sole proprietor health care provider with primary practice located at 2379 Black Rock Tpke , Fairfield CT 06825-3229. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Gould, Nelson Leonard can be contacted via phone (203) 333-5590.Contact Information
Primary practice address
2379 Black Rock Tpke
Fairfield CT 06825-3229
Phone: (203) 333-5590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 933 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 933 | Connecticut |
Profile Details
| NPI number | 1780653378 |
|---|---|
| LBN Legal business name | Gould, Nelson Leonard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 6th, 2020 - about 4 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 | 1780653378 | NPPES |
| Connecticut | MEDICAID | 004086048 |
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