Organization
CRAIG L. NIELSEN, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LAWRENCE NIELSEN OD (OWNER)
(203) 235-9519
Entity
Organization
Contact information
Practice address
105 BROAD ST, MERIDEN, CT 06450-6516
(203) 235-9519
(203) 237-3819
Mailing address
105 BROAD ST, MERIDEN, CT 06450-6516
(203) 235-9519
(203) 379-0289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004086650
—
CT
Enumeration date
07/12/2007
Last updated
05/05/2026
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