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Organization
NELSON & ENDICOTT AN OPTOMETRIC CORPORATION
Active
Organization
NELSON & ENDICOTT AN OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C NELSON O.D. (OWNER)
(626) 912-1536
Entity
Organization
Contact information
Practice address
19735 COLIMA RD, ROWLAND HEIGHTS, CA 91748-3227
(626) 912-1536
(909) 468-4603
Mailing address
19735 COLIMA RD, ROWLAND HEIGHTS, CA 91748-3227
(626) 912-1536
(909) 468-4603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6093T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001240
—
CA
Enumeration date
01/30/2006
Last updated
07/27/2012
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