David L Nelson, Doctor of Optometry, PA

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

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David L NelsonNPI 1770592628

Title

President

Phone

(903) 938-2555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Land Nelson, OD

  • Optometrist
  • Marshall, TX
  • NPI 1770592628
  Authorized official Same address or phone

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": []
}

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• Optometrist in Marshall, TX
• Providers in Marshall, TX by specialty
• Optometrist in Texas

• 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.