Individual
DR. JAY WOODWORTH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
625 BLACK LAKE BLVD SW, OLYMPIA, WA 98502-5066
(360) 943-2334
(360) 943-2879
Mailing address
625 BLACK LAKE BLVD SW, OLYMPIA, WA 98502-5066
(360) 943-2334
(360) 943-2879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1339
WA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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