David Paul Nelson, O.D.
Individual provider Active NPI Optometrist · Cottage Grove, WI
NPI 1992878409 · NPPES record last updated Jul 22, 2016
Key facts
- NPI
- 1992878409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2723 (WI)
- Practice address
- 427 W Cottage Grove Rd
Cottage Grove, WI 53527-9385 - Phone
- (608) 839-0980
- Fax
- (608) 839-0982
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
427 W Cottage Grove Rd
Cottage Grove, WI 53527-9385
Phone (608) 839-0980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110304000148 | WI | Practitioner - Optometry | 3870775372 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2723 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DP Nelson Investments LLC | Optometrist | Current |
Accepting new patients |
Locations
427 W Cottage Grove Rd
Cottage Grove, WI 53527
Phone (608) 332-9818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2723 | WI | Yes |
Addresses
Primary practice location
427 W Cottage Grove Rd
Cottage Grove, WI 53527-9385
Mailing address
427 W Cottage Grove Rd
Cottage Grove, WI 53527-9385
Phone (608) 839-0980
Other providers in Cottage Grove, WI
- Emily A Metzger
- Leila R Midelfort
- Diane Alane Milanese
- Yusuf Abdullahi Muhumed
- Aishani Nalla
- Shari L Nelson
- Wendy Nicole Nelson
- Anne Niebler
- Courtney Noel
- Colleen Grace Pallardy
All providers in Cottage Grove, WI · Optometrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.