Organization
INSIGHT VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A NELSON OD (OPTOMETRIST)
(719) 561-0412
Entity
Organization
Contact information
Practice address
1315 S PUEBLO BLVD, 120, PUEBLO, CO 81005-2191
(719) 561-0412
Mailing address
1315 S PUEBLO BLVD, 120, PUEBLO, CO 81005-2191
(719) 561-0412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07748
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74922262
—
CO
Enumeration date
02/02/2012
Last updated
02/02/2012
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