John Paul Nelson, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2442I Issued in AZ

Practice address

2168 E Williams Field Rd
Suite 108
Gilbert, AZ 85295-0741

Phone

(480) 899-9970

Fax

(480) 899-9972

NPI assigned

Sep 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1174832075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 E HOPI CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066780",
            "telephone_number": "480-833-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 E WILLIAMS FIELD RD",
            "address_2": "SUITE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950741",
            "telephone_number": "480-899-9970",
            "fax_number": "480-899-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "2442I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "2442I",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Margaret Nelson, R.N.
• Erika Jean Nelson, RN
• Gracie Nelson
• Jennifer Nicole Nelson, MS CCC-SLP
• Jeremy Nelson
• Joseph Nelson, MD
• Joshua Matthew Nelson, PT, DPT
• Lauren A Nelson
• Melissa Dawn Nelson, MA, LPC
• Paula Ann Nelson, FNP-C

• Optician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.