Organization
ASSOCIATED OPTOMETRISTS, PC
Active
Other names
Edgebrook Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A NIELSEN O.D. (OPTOMETRIST)
(815) 397-5337
Entity
Organization
Contact information
Practice address
1641 N ALPINE RD, SUITE 205, ROCKFORD, IL 61107-1458
(815) 397-5337
(815) 397-5540
Mailing address
1641 N ALPINE RD, SUITE 205, ROCKFORD, IL 61107-1458
(815) 397-5337
(815) 397-5540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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