Nelson Nelson Nelson Od INC

NPI #1285736355 in Watonga, Oklahoma

Provider Information

NPI Number: 1285736355
Entity Type: Organization
Organization Name: Nelson Nelson Nelson Od INC
Primary Specialty: Optometrist
Enumeration Date: Sep 1, 2006
Last Updated: Feb 11, 2014

Practice Location

Address: 203 N NOBLE AVE
City: Watonga
State: Oklahoma
ZIP Code: 73772-0590
Phone: (580) 623-5073

Authorized Official

Name: DR. TIMOTHY LAYNE NELSON, OD
Title: OWNER
Phone: (580) 623-5073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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