NPIMap

Organization Active NPI

David L Nelson, Doctor of Optometry, PA

  • Optometrist
  • Marshall, TX
National Provider Identifier
1063662625
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1923TG Issued in TX
Legal business name
DAVID L NELSON, DOCTOR OF OPTOMETRY, PA
Practice address
2306 E End Blvd S
Marshall, TX 75672-7469
Phone
(903) 938-2555
Fax
(903) 938-1011
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David L Nelson
Title
President
Phone
(903) 938-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1923TG TX Primary

Addresses

Primary practice location

2306 E End Blvd S
Marshall, TX 75672-7469

Mailing address

2306 E End Blvd S
Marshall, TX 75672-7469
Phone (903) 938-2555

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1063662625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 E END BLVD S",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727469",
            "telephone_number": "903-938-2555",
            "fax_number": "903-938-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 E END BLVD S",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727469",
            "telephone_number": "903-938-2555",
            "fax_number": "903-938-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L NELSON, DOCTOR OF OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-938-2555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1923TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.