Craig L. Nielsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002189 Issued in CT

Legal business name

CRAIG L. NIELSEN, O.D.

Practice address

105 Broad St
Meriden, CT 06450-6516

Phone

(203) 235-9519

Fax

(203) 237-3819

NPI assigned

Jul 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Lawrence Nielsen, ODNPI 1558349738

Title

Owner

Phone

(203) 235-9519

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Lawrence Nielsen, O.D.

  • Optometrist
  • Meriden, CT
  • NPI 1558349738

  CT, Optometrist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1861691685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506516",
            "telephone_number": "203-235-9519",
            "fax_number": "203-379-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506516",
            "telephone_number": "203-235-9519",
            "fax_number": "203-237-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG L. NIELSEN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-235-9519",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004086650",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy R Cook, PA
• Tricia Coppola-Passariello, OT
• Paula Coppola
• Julie Ann Cosenza, LCSW
• Elissa Costello, LCSW
• Carol Lynn Cranston, M.S., C.C.C.-SLP
• Creating Space to Thrive PLLC
• Lynn Cromwell, LMFT
• Maggie Jean Cross, PHARMD
• Crossroads Health PC

• All providers in Meriden, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.