Nelsen Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008742 Issued in IL

Legal business name

NELSEN EYECARE INC

Practice address

1100 S Randall Rd
Elgin, IL 60123-4109

Phone

(847) 468-9777

Fax

(847) 468-1557

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maria Jean Nelsen, O.D.

Title

Optometrist

Phone

(630) 762-0689

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1770695371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6N467 E RIDGEWOOD DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756286",
            "telephone_number": "630-762-0689",
            "fax_number": "847-468-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234109",
            "telephone_number": "847-468-9777",
            "fax_number": "847-468-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSEN EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-762-0689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008742",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "03419",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Nasser
• Cynthia Arness Nathan
• Shannon Claire Naumann, M.D.
• Romulo A. Nazareno, M.D.
• NB Physical Therapy Inc.
• Gail C Nelson, LCPC
• William Lawrence Nelson, MD
• Patrick Ryan Nemec
• Nino Nemsadze, MD
• Nephrology Associates at Elgin Clinic PC

• Optometrist in Elgin, IL
• Providers in Elgin, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.