Individual
DR. CRAIG ALLEN FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2120 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-3545
(954) 467-3777
(954) 463-7643
Mailing address
2120 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-3545
(954) 467-3777
(954) 463-7643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001638
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC1638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC1638
FL BOARD CERTIFICATION #
FL
Enumeration date
08/30/2006
Last updated
01/14/2015
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