Deanna Lynn Nelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02745 Issued in MO

Practice address

1400 S Limit Ave
Space 75 State Fair Shopping Center
Sedalia, MO 65301-5116

Phone

(660) 827-3140

Fax

(660) 827-5204

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deanna Lynn Wasson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1285794396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LIMIT AVE",
            "address_2": "SPACE 75 STATE FAIR SHOPPING CENTER",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015116",
            "telephone_number": "660-827-3140",
            "fax_number": "660-827-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LIMIT AVE",
            "address_2": "SPACE 75 STATE FAIR SHOPPING CENTER",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015116",
            "telephone_number": "660-827-3140",
            "fax_number": "660-827-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "WASSON",
            "middle_name": "LYNN",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reagen Mullins
• Menelik Mulu, M.D.
• Ronald Lee Murphy, OTR/L
• Nelson Eyecare Inc.
• Benjamin B Nelson, O.D.
• Chelsea Newell
• Cheridan Newton, M.S.
• Shannon Nigh
• Noble Health Audrain Inc
• Nohaud N Azan DDS PC

• Optometrist in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.