James Nelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T112 Issued in SD

Practice address

1288 Dakota Ave S Ste 3
Huron, SD 57350-3675

Phone

(605) 352-4181

NPI assigned

Aug 31, 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 SD

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

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 and National Provider Directory roles.

• Huron Eye Clinic PC

  • Optometrist
  • Huron, SD
  • NPI 1386616480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1841302700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573500948",
            "telephone_number": "605-352-4181",
            "fax_number": "605-352-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 DAKOTA AVE S STE 3",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503675",
            "telephone_number": "605-352-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201065",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF SD",
            "identifier": "0041041",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Ashley Morgan
• Joshua L Morrison, PHARM.D.
• Gretchen Nassen
• Nathan H Loewen
• Megan Beth Nelson-Hartman, O.D
• Megan Sue Nelson, PHARM.D.
• Raquel Nelson, PTA
• New Life General Surgery
• George Alfred Nicholas, M.D.
• Sarah Anne Nickels, LMT

• Optometrist in Huron, SD
• Providers in Huron, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.