Mark Nelson, OD
Optometrist in Utica, NY. Individual provider (NPI-1).
NPI number1669959607
StatusActive
Last updated in NPPESJul 23, 2018
Details
- NPI
- 1669959607
- Entity type
- Individual (NPI-1)
- Name
- Mark Nelson
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Last updated
- Jul 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV008843 | NY | Yes |
Practice location
289 Genesee StUtica, NY 13501-3823
Phone 315-732-1151
Mailing address
289 Genesee StUtica, NY 13501-3823
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All 10 Optometrist providers in Utica · All 2,598 providers in Utica
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