Kevin R. Nelson, O.D., P.C.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

4901002866 Issued in MI

Legal business name

KEVIN R. NELSON, O.D., P.C.

Practice address

228 Bellows Ave
Frankfort, MI 49635-9055

Phone

(231) 352-9141

Fax

(231) 352-9739

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Reed Nelson, O.D.

Title

Optometrist/Owner

Phone

(231) 352-9141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1114274800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BELLOWS AVE",
            "address_2": "P.O. BOX 2158",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359055",
            "telephone_number": "231-352-9141",
            "fax_number": "231-352-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BELLOWS AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359055",
            "telephone_number": "231-352-9141",
            "fax_number": "231-352-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN R. NELSON, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "231-352-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "4901002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Frankfort, MI
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• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.