David A Nielsen, O.D. Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1285659367
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Practice location
1641 N Alpine Rd, Suite 205
Rockford, IL 61107-1458
(815) 397-5337