Bruce D Nelson in Detroit Lakes - Eyewear Supplier

Bruce D Nelson - NPI 1891965562

Bruce D Nelson is a Eyewear Supplier in Detroit Lakes, Minnesota. Bruce D Nelson practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Bruce D Nelson is 1891965562. The last update date is 2008-07-16.

Bruce D Nelson's current location address is 1131 Jackson Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188475663 and fax number 2188470964. The mailing address for Bruce D Nelson is 1131 Jackson Ave, Detroit Lakes, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bruce D Nelson
Address 1131 Jackson Ave, Detroit Lakes, Minnesota
Phone Number 2188475663
Fax Number 2188470964
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTICIAN/O
Authorized Official Name Nelson Donald Bruce
Telephone Number 2188475663

NPI Number Detail

NPI Number 1891965562
Provider Enumeration Date 2008-03-09
Last Updated Date 2008-07-16

Provider Mailing Address Detail

Address 1131 Jackson Ave
City Detroit Lakes
State Minnesota (MN)
Post Code 565013618
Phone Number 2188475663
Fax Number 2188470964

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Bruce D Nelson

What is the unique provider identifier assigned to Bruce D Nelson?

The Bruce D Nelson has been issued the NPI (National Provider Identifier) 1891965562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Bruce D Nelson?

The Bruce D Nelson is physically situated at 1131 Jackson Ave, in the city of Detroit Lakes, state of MN, with the postal code 565013618.

What is the area of specialization for Bruce D Nelson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bruce D Nelson is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1891965562 to Bruce D Nelson?

The Centers for Medicare & Medicaid Services assigned the 1891965562 to Bruce D Nelson on 2008-03-09.

When was the information related to Bruce D Nelson most recently updated or refreshed?

The details pertaining to the Bruce D Nelson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-16.

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