Eric Richard Nelson MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33370 Issued in MN

Legal business name

ERIC RICHARD NELSON MD

Practice address

6405 France Ave S
Suite W460
Edina, MN 55435-2163

Phone

(952) 925-4161

Fax

(952) 925-3520

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Tori Dodge

Title

Business Office Manager

Phone

(952) 925-4161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Minnesota Ophthalmic Plastic Surgery Specialists Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Saylor Baker, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Edina, MN
  • NPI 1023245701
  NPD (past)
• Andrew Richard Harrison, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Minneapolis, MN
  • NPI 1396768180

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1851717136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "address_2": "SUITE W460",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-925-4161",
            "fax_number": "952-925-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "address_2": "SUITE W460",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-925-4161",
            "fax_number": "952-925-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC RICHARD NELSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "952-925-4161"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "33370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323003100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Ophthalmic Plastic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pegah Entezari, M.D.
• Esther Chinedu Enu-Adediran, M.D.
• Harriet L Enubuzor, MD
• Equilibrium LLC
• Equilibrium Wellness Center, LLC
• Eric W. Larson, M.D., PLLC
• Brooke Erickson, MD
• Emma Erickson, PHD
• Lance Matthew Erickson, DC
• Pamela Ruth Erickson, DDS

• Ophthalmology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.