David Land Nelson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1923TG Issued in TX

Practice address

2306 E End Blvd S
Marshall, TX 75672-7469

Phone

(903) 938-2555

Fax

(903) 938-1011

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Ward Eye Associates PC

  • Optometrist
  • Marshall, TX
  • NPI 1184208134
  Medicare reassignment NPD
• David L Nelson, Doctor of Optometry, PA

  • Optometrist
  • Marshall, TX
  • NPI 1063662625
  Authorized official Same address or phone
• Longview Eye Associates. PA

  • Optometrist
  • Longview, TX
  • NPI 1790799773
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1770592628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 E END BLVD S",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727469",
            "telephone_number": "903-938-2555",
            "fax_number": "903-938-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 E END BLVD S",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756727469",
            "telephone_number": "903-938-2555",
            "fax_number": "903-938-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "LAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1923TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316319801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121648304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nacogdoches County Hospital District (Heritage House of Marshall Health & Rehabilitation Center)
• Gana R Nadiga, MD
• Amy M Nail
• Darrell Mark Neel, D.D.S.
• Lara Anne Neely, DBH, MED, LPC
• DO Duc Nguyen, PHARMD
• Hoang Tien Nguyen, PHARMD
• Linda Nguyen, PHARMD
• Trung Hieu Nguyen, MD
• Kavita Nirmal, M.D.

• Optometrist in Marshall, TX
• Providers in Marshall, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.