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Organization
MICHAEL NELL PC
Active
Organization
MICHAEL NELL PC
Active
Other names
Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICAEL NELL O.D. (OWNER)
(936) 756-8612
Entity
Organization
Contact information
Practice address
1148 W DALLAS ST, CONROE, TX 77301-2208
(936) 756-8612
Mailing address
1148 W DALLAS ST, CONROE, TX 77301-2208
(936) 756-8612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2624T
TX
152WC0802X
Corneal and Contact Management Optometrist
2624T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
2624T
TX
152WP0200X
Pediatric Optometrist
2624T
TX
152WS0006X
Sports Vision Optometrist
2624T
TX
152WV0400X
Vision Therapy Optometrist
2624T
TX
152WX0102X
Occupational Vision Optometrist
2624T
TX
Other
Enumeration date
05/06/2013
Last updated
05/03/2016
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