Individual
DR. BRANDON CLARK NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
568 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 284-0650
Mailing address
568 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 293-8580
(208) 712-1058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14652
CA
152W00000X
Optometrist
Primary
ODP:100311
ID
152WP0200X
Pediatric Optometrist
14652
CA
152WP0200X
Pediatric Optometrist
ODP:100311
ID
152WS0006X
Sports Vision Optometrist
ODP:100311
ID
152WV0400X
Vision Therapy Optometrist
14652
CA
152WV0400X
Vision Therapy Optometrist
ODP:100311
ID
Other
Enumeration date
07/05/2013
Last updated
09/18/2019
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