Jerom Nelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

673 Issued in NM

Practice address

1124 10TH St
Alamogordo, NM 88310-6414

Phone

(575) 434-1200

Fax

(575) 437-3947

NPI assigned

Feb 18, 2013

Last updated

Jul 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, HI, UT3 enrollments

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.

Enrollment records 3

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Eye CareGroup PAC ID 1456657006, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Eye Care

  dba Orem Eye Clinic

  • Optometrist
  • Orem, UT
  • NPI 1871950444
  Medicare reassignment Care Compare group NPD
• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1083931182
  Medicare reassignment NPD
• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1104295906
  NPD
• Hawaii Vision Specialists LLP

  • Ophthalmology Physician
  • Hilo, HI
  • NPI 1659621084

  Optometrist

  NPD
• Mrs Hilo LLC

  dba Eye Care Hawaii

  • Optometrist
  • Hilo, HI
  • NPI 1467075721
  NPD

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1639419385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106414",
            "telephone_number": "575-434-1200",
            "fax_number": "575-437-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106414",
            "telephone_number": "575-434-1200",
            "fax_number": "575-437-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JEROM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100286",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Neder Acuna
• Lisa Neely, BCBA
• Shannon Neeves
• Elaine M Neidert, MSN, PMHNP- BC
• Alexandria Nelson
• Robert Nelson
• Stacey Nelson
• Sheila Nemeth
• Neurocare Center PC
• New Mexico Anesthesia Specialists LLC

• Optometrist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.