Individual
DR. NATHANIEL PELSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6149 E COLUMBIA ST, EVANSVILLE, IN 47715
(812) 424-2020
(812) 424-3000
Mailing address
6149 E COLUMBIA ST, EVANSVILLE, IN 47715-9134
(812) 424-2020
(812) 424-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003639A
IN
152W00000X
Optometrist
1816DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201031930
—
IN
05
—
7100184100
—
KY
Enumeration date
07/14/2010
Last updated
04/11/2019
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