NPI 1518304435

Jared Nelson, OD

Practitioner Optometrist Apo, AE

Practice location

Address: Unit 28130 Box Usahc, Apo, AE 09114-8130
Phone: (314) 590-3207
Mailing address: 681 S Grant Ln, North Salt Lake, UT 84054-1204

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 8684413-9934 (UT)

Other Optometrist providers in Armed Forces Europe →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60401345 (WA)

Registry record

NPI: 1518304435
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2013
Record last updated: 27 Oct 2023

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.