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Individual

VONNIE KAY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
320 SUNRISE DR, SAINT PETER, MN 56082-1352
(507) 931-6436
(507) 934-9625
Mailing address
320 SUNRISE DR, SAINT PETER, MN 56082-1352
(507) 931-6436
(507) 934-9625

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2447
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0322460001
DMERC
MN
01
0716373
IOWA MEDICAID
IA
01
1027073
PREFERRED ONE
MN
01
126T3NE
BCBS
MN
01
141695
UCARE
MN
01
21 16066
MEDICA EYEWEAR
MN
01
2202077
MEDICA
MN
01
44977TH
BLUEPLUS EYEWEAR
MN
01
HP21215
HEALTH PARTNERS
MN
Enumeration date
12/01/2006
Last updated
02/29/2008
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