Individual
CHRISTOPHER ANDREW NIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
MISSION RD, FORT HALL, ID 83203-0717
(208) 238-5441
(208) 238-5481
Mailing address
1141 PACKER DR, BLACKFOOT, ID 83221-3657
(208) 238-5455
(208) 238-5481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-1019
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003398900
—
ID
Enumeration date
09/20/2006
Last updated
07/18/2007
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