Organization
JAMES M. NELSON, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M. NELSON O.D. (OWNER/OPTOMETRIST)
(918) 683-1021
Entity
Organization
Contact information
Practice address
817 CALLAHAN ST, MUSKOGEE, OK 74403-5146
(918) 683-1021
(918) 683-3347
Mailing address
817 CALLAHAN ST, MUSKOGEE, OK 74403-5146
(918) 683-1021
(918) 683-3347
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2019
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765570A
—
OK
Enumeration date
01/16/2008
Last updated
08/27/2008
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