NPI 1891965562

Bruce D Nelson

Organisation Eyewear Supplier Detroit Lakes, MN

Practice location

Address: 1131 Jackson Ave, Detroit Lakes, MN 56501-3618
Phone: (218) 847-5663
Fax: (218) 847-0964

Authorised official

Name: Bruce Donald Nelson
Title: Optician/Owner
Phone: (218) 847-5663

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Minnesota →

Registry record

NPI: 1891965562
Entity type: Organization
NPI issued: 9 Mar 2008
Record last updated: 16 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.