Organization
CRAIG A FIDLER OD PA
Active
Other names
Fidler EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALLEN FIDLER O.D. (PRESIDENT)
(954) 467-3777
Entity
Organization
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
OPC1638
FL
332H00000X
Eyewear Supplier
OPC1638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC1638
FLORIDA BOARD CERTIFICATION #
FL
Enumeration date
05/19/2010
Last updated
04/11/2012
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