Organization
NIELSEN VISION DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGHA MISHELLE NIELSEN O.D. (OWNER)
(210) 590-2485
Entity
Organization
Contact information
Practice address
9330 CORPORATE DR, SUITE 702, SELMA, TX 78154-1251
(210) 590-2485
Mailing address
PO BOX 918, SCHERTZ, TX 78154-0918
(832) 385-8735
Taxonomy
Speciality
Code
Description
License number
State
152WS0006X
Sports Vision Optometrist
7776TG
TX
152WV0400X
Vision Therapy Optometrist
Primary
7776TG
TX
152WX0102X
Occupational Vision Optometrist
7776TG
TX
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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