Individual
DR. NELSON LEONARD GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 333-5590
Mailing address
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 333-5590
(203) 333-6722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
933
CT
152WL0500X
Low Vision Rehabilitation Optometrist
933
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004086048
—
CT
Enumeration date
03/16/2006
Last updated
07/06/2020
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