Mike Nelson

NPI #1265602742 in Muskogee, Oklahoma

Provider Information

NPI Number: 1265602742
Entity Type: Organization
Organization Name: Mike Nelson
Primary Specialty: Optometrist
Enumeration Date: Mar 11, 2008
Last Updated: Mar 11, 2008

Practice Location

Address: 105 N YORK ST
City: Muskogee
State: Oklahoma
ZIP Code: 74403-4657
Phone: (918) 682-2181

Authorized Official

Name: DR. MIKE H NELSON
Title: OWNER
Phone: (918) 682-2181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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