Individual
DR. POLLY A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
502 SOUTH US 71 HWY, STE 1, SAVANNAH, MO 64485-2041
(816) 324-2020
(816) 324-6407
Mailing address
502 SOUTH US 71 HWY, STE 1, SAVANNAH, MO 64485-2041
(816) 324-2020
(816) 324-6407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2956
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22793-015
BLUE CROSS BLUE SHIELD OF
MO
05
—
312965007
—
MO
Enumeration date
07/05/2006
Last updated
06/28/2010
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