Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2002
NPI: 1538103148
Practice Locations (2)
NIELSON EYECARE PROFESSIONALS PC
1715 S WELLS AVE, SUITE 100
MERIDIAN, ID 836425066
2088980304
EYECARE SPECIALTIES OF IDAHO PC
134 N STATE ST
PRESTON, ID 832631143
2088523030
Source: CMS National Downloadable File, September 2026.