Individual
MR. GARY H NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
707 FAIRMOUNT AVE, SUITE 11, JAMESTOWN, NY 14701-2623
(716) 483-1955
Mailing address
707 FAIRMOUNT AVE., STE 11, JAMESTOWN, NY 14701-2623
(716) 483-1955
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004127-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
4127-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622124
—
NY
Enumeration date
12/05/2006
Last updated
11/03/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us