Timothy Nelson in Maple Grove - Optometrist

Timothy Nelson - NPI 1215091616

Timothy Nelson is a Optometrist in Maple Grove, Minnesota. Timothy Nelson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Timothy Nelson is 1215091616. The last update date is 2018-12-11.

Timothy Nelson's current location address is 11330 Fountains Dr, Maple Grove, Minnesota. You can contact this provider via phone number 7634948063 and fax number 7634948062. The mailing address for Timothy Nelson is 11330 Fountains Dr, Maple Grove, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Nelson
Address 11330 Fountains Dr, Maple Grove, Minnesota
Phone Number 7634948063
Fax Number 7634948062
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1215091616
Provider Enumeration Date 2006-12-20
Last Updated Date 2018-12-11

Provider Mailing Address Detail

Address 11330 Fountains Dr
City Maple Grove
State Minnesota (MN)
Post Code 55369
Phone Number 7634948063
Fax Number 7634948062

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2827
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
48717100 MN --

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FAQs about Timothy Nelson

What is the unique identification code assigned to Timothy Nelson by the Centers for Medicare & Medicaid Services?

The Timothy Nelson has been issued the NPI (National Provider Identifier) 1215091616. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Timothy Nelson is geographically located?

The Timothy Nelson is physically situated at the following location: 11330 Fountains Dr, Maple Grove, MN, 55369.

What is Timothy Nelson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Timothy Nelson's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215091616 to Timothy Nelson?

The Centers for Medicare & Medicaid Services assigned the 1215091616 to Timothy Nelson on 2006-12-20.

As of what date was the information pertaining to Timothy Nelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Timothy Nelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-12-11.

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