Individual
DR. JAMES M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3101 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4954
(918) 683-1021
(918) 683-3347
Mailing address
3101 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4954
(918) 683-1021
(918) 683-3347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2019
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765570A
—
OK
Enumeration date
06/09/2006
Last updated
04/07/2015
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