Individual
TIMOTHY L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
203 N NOBLE AVE, WATONGA, OK 73772-0590
(580) 623-5073
(580) 623-5020
Mailing address
203 N NOBLE AVE, WATONGA, OK 73772-0590
(580) 623-5073
(580) 623-5020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1011
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761510A
—
OK
01
—
730989130001
BCBS PROVIDER NUMBER
OK
Enumeration date
01/24/2006
Last updated
01/14/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us