Active NPI
David J Nelson, OD
- Ophthalmology Physician
- New Oxford, PA
National Provider Identifier
1659493591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OE005744P
- Practice address
- 390 Lincoln Way East
New Oxford, PA 17350 - Phone
- (717) 624-2955
- Fax
- (717) 624-9242
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OE005744P | PA | Primary |
Addresses
Primary practice location
390 Lincoln Way East
New Oxford, PA 17350
Mailing address
PO Box 37
New Oxford, PA 17350
Phone (717) 624-2955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4866410001 | Other | PA | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hockman Family Eye Care, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- New Oxford, PA
- NPI 1306182340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659493591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "NEW OXFORD",
"state": "PA",
"postal_code": "17350",
"telephone_number": "717-624-2955",
"fax_number": "717-624-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 LINCOLN WAY EAST",
"city": "NEW OXFORD",
"state": "PA",
"postal_code": "17350",
"telephone_number": "717-624-2955",
"fax_number": "717-624-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "OE005744P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4866410001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Oxford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.