Individual
DR. GARY B. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1801 SANTA CLARA AVE, ALAMEDA, CA 94501-2631
(510) 521-2015
(510) 521-2123
Mailing address
1801 SANTA CLARA AVE, ALAMEDA, CA 94501-2631
(510) 521-2015
(510) 521-2123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5579T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0055790
—
CA
Enumeration date
02/26/2007
Last updated
06/15/2011
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