Nelson Nelson Nelson Od Inc | |
203 N Noble Ave, Watonga, OK 73772-0590 | |
(580) 623-5073 | |
(580) 623-5020 |
Full Name | Nelson Nelson Nelson Od Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 203 N Noble Ave, Watonga, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285736355 | NPI | - | NPPES |
100768490B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1011 (Oklahoma) | Primary |
332H00000X | Eyewear Supplier | 1011 (Oklahoma) | Secondary |
Provider Name | Timothy L Nelson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720058654 PECOS PAC ID: 7012064678 Enrollment ID: I20090416000552 |
Mailing Address | Practice Location Address |
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Nelson Nelson Nelson Od Inc 203 N Noble Ave, Watonga, OK 73772-0590 Ph: (580) 623-5073 | Nelson Nelson Nelson Od Inc 203 N Noble Ave, Watonga, OK 73772-0590 Ph: (580) 623-5073 |
Dr. Susan Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 N Clarence Nash Blvd, Watonga, OK 73772 Phone: 580-623-2300 Fax: 580-623-7533 | |
Timothy L Nelson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 203 N Noble Ave, Watonga, OK 73772 Phone: 580-623-5073 Fax: 580-623-5020 |