Richard L. Nelson, O.D. P.L.C.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

01595 Issued in IA

Legal business name

RICHARD L. NELSON, O.D. P.L.C.

Practice address

1500 N Jefferson Way
Indianola, IA 50125-1465

Phone

(515) 961-7573

Fax

(515) 961-7586

NPI assigned

Mar 8, 2007

Last updated

Sep 8, 2014By 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. Richard L Nelson, O.D.NPI 1437137429

Title

President

Phone

(515) 961-7573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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.

• Richard Loren Nelson, O.D.

  • Corneal and Contact Management Optometrist
  • Indianola, IA
  • NPI 1437137429
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1235260340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12817 FORD TRL S",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501258930",
            "telephone_number": "515-961-7573",
            "fax_number": "515-961-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N JEFFERSON WAY",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251465",
            "telephone_number": "515-961-7573",
            "fax_number": "515-961-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. NELSON, O.D. P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-961-7573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "01595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Pontier, ATC
• Marissa Ramos
• Jelena Raus May, ARNP
• Real Optics Inc (Vogue Vision in Indianola)
• Jeff Reding
• Nichole Renee Rinehart, D.C.
• Kimberly Lynn Rines, ARNP, MSN, RN
• Christine Roberts, DPT
• Christoper L Rowedder, PT
• Kristen Rude, RN

• Corneal and Contact Management Optometrist in Indianola, IA
• Providers in Indianola, IA by specialty
• Corneal and Contact Management Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.