P Praxis·MD
● Active Type 1 · Individual

DR. Dennis Earl Nielson, O.D.

Optometrist·Meridian, ID· NPI 1104974401 · Enumerated 2007 · 19 years on NPI
Nielson is 1 of 32 optometrist providers in Meridian and 1 of 598 in Idaho.
NPI age
19 years
Enumerated 2007-01-05
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-10-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 598 active optometrist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1012 N Main St
Meridian, ID 836422304
📞 2088885252
Mailing address
2804 S Goshen Way
Boise, ID 837098570
📞 2083226161

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    ID license #ODP-498 taxonomy 152W00000X

Identifiers

TypeValueNotes
01 (ID) V7310 BLUE CROSS
01 (ID) 0644950001 DMERC
01 (ID) 15254 BLUE SHIELD

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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