Organization Active NPI

Nelson Vision PA

  • Optometrist
  • Fredericksburg, TX
National Provider Identifier
1063684181
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NELSON VISION PA
Practice address
20 Suniland Dr
Fredericksburg, TX 78624-6341
Phone
(866) 991-9862
Fax
(281) 966-6960
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Dr. Steven Nelson, O.D.NPI 1861527046
Title
Owner
Phone
(361) 549-9495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20 Suniland Dr
Fredericksburg, TX 78624-6341

Mailing address

PO Box 1593
Fredericksburg, TX 78624-1904
Phone (361) 549-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000294 TX Part B Supplier - Clinic/Group Practice 3577638998 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, TX

National Provider Directory

National Provider Directory
Tax ID family
Nelson Vision PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2401 Highway 35 N
Rockport, TX 78382
Phone (361) 727-9595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1063684181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241904",
            "telephone_number": "361-549-9495",
            "fax_number": "281-966-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUNILAND DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786246341",
            "telephone_number": "866-991-9862",
            "fax_number": "281-966-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-549-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.