| Organization Name: | RICHARD L. NELSON, O.D. P.L.C. |
| NPI Number: | 1235260340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD L NELSON (PRESIDENT) |
| Mailing Address: | 1500 N Jefferson Way Indianola |
| State: | IA US |
| Postal Code: | 501251465 |
| Phone Number: | 5159617573 |
| Fax Number: | 5159617586 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 09/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 01595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |