NPIMap

Organization Active NPI

Dr Jay Nelson, Inc

  • Optometrist
  • Bremerton, WA
National Provider Identifier
1295222669
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1339 Issued in WA
Legal business name
DR JAY NELSON, INC
Practice address
2130 E 17TH St
Bremerton, WA 98310-4414
Phone
(360) 698-0289
NPI assigned
Apr 20, 2018
Last updated
Apr 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Dr. Jorgen W Nelson, OPTOMETRIST
Title
President/Owner
Phone
(360) 698-0289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1339 WA Primary

Addresses

Primary practice location

2130 E 17TH St
Bremerton, WA 98310-4414

Mailing address

2130 E 17TH St
Bremerton, WA 98310-4414
Phone (360) 698-0289

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1295222669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E 17TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104414",
            "telephone_number": "360-698-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 E 17TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104414",
            "telephone_number": "360-698-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAY NELSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JORGEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-698-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.