Individual
DR. BRENT C NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4540 3RD ST, THE EYE CENTER, MOLINE, IL 61265-6104
(309) 797-0877
Mailing address
1005 E 6TH ST, COAL VALLEY, IL 61240-9494
(309) 799-8818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
03/07/2023
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