Nielsen, Brandon Clark

Nielsen, Brandon Clark is an sole proprietor health care provider with primary practice located at 568 Falls Ave , Twin Falls ID 83301-3314. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Nielsen, Brandon Clark can be contacted via phone (208) 284-0650.

Contact Information

Primary practice address
568 Falls Ave Twin Falls ID 83301-3314
Phone: (208) 284-0650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 14652 California
Eye and Vision Services Providers / Pediatrics 152WP0200X ODP:100311 Idaho
Eye and Vision Services Providers / Pediatrics 152WP0200X 14652 California
Eye and Vision Services Providers / Sports Vision 152WS0006X ODP:100311 Idaho
Eye and Vision Services Providers / Vision Therapy 152WV0400X ODP:100311 Idaho
Eye and Vision Services Providers / Vision Therapy 152WV0400X 14652 California
Eye and Vision Services Providers / Optometrist 152W00000X ODP:100311 Idaho

Profile Details

NPI number 1033559026
LBN Legal business name Nielsen, Brandon Clark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2013
Last updated Sep 18th, 2019 - about 7 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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