Organization Name: | DR. STANLEY J. NELSON |
NPI Number: | 1437338662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANLEY J NELSON (OPTOMETRIST/OWNER) |
Mailing Address: | 715 Broadway Marysville |
State: | KS US |
Postal Code: | 665081841 |
Phone Number: | 7855622631 |
Fax Number: | 7855624006 |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 1124-3 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |