NPI 1124504006

Michael J Nelson, OD

Practitioner Optometrist Fpo, AA

Practice location

Address: 670 Boulevard de France, Fpo, AA 29909
Phone: (843) 228-2867
Mailing address: 670 Boulevard de France McRd Parris Island, Sc, Fpo, AA 29902

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 9490TG (TX)

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Registry record

NPI: 1124504006
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2018
Record last updated: 30 Oct 2018

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.