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Individual
DR. KRISTIN NELSON
Active
Individual
DR. KRISTIN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, IACMM
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011423
IL
152W00000X
Optometrist
OPC6206
FL
152WP0200X
Pediatric Optometrist
046011423
IL
152WV0400X
Vision Therapy Optometrist
0466011423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119758500
—
FL
Enumeration date
05/29/2020
Last updated
10/30/2025
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