Individual
DR. DAVID A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4123 SW GAGE CENTER DR, SUITE #126, TOPEKA, KS 66604-1886
(785) 273-6717
(785) 228-2029
Mailing address
4123 SW GAGE CENTER DR, SUITE #126, TOPEKA, KS 66604-1886
(785) 273-6717
(785) 228-2029
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13573
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219290B
—
KS
01
—
410044216
RR MEDICARE
KS
01
—
481216166
FEDERAL TAX ID
KS
01
—
600290
FIRST GUARD
KS
Enumeration date
07/19/2005
Last updated
10/14/2010
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