Individual
DR. BENJAMIN B NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3201 W BROADWAY BLVD, SEDALIA, MO 65301-2118
(660) 826-0683
(660) 827-5470
Mailing address
2015 HEDGE APPLE DR, SEDALIA, MO 65301-8986
(660) 826-0683
(660) 827-5470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001018945
MO
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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