DR. JEROM NELSON (NPI# 1639419385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639419385 |
| Entity Type | Individual |
| Full Name | DR. JEROM NELSON |
| Credential | O.D. |
| Practice Address |
1124 10th St Alamogordo NM 88310-6414 |
| Practice Telephone | 5754341200 |
| Practice Fax Number | 5754373947 |
| Mailing Telephone | 5754341200 |
| Mailing Fax Number | 5754373947 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 673 | NM | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | ODP-100286 | ID | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1124 10TH ST |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-6414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475703 | Donald J Ham | Ophthalmology | 1124 10th St, Alamogordo, NM 88310-6414 | 2005-05-23 |
| 1497095244 | Jacob Shumway Bailey | Optometrist | 1124 10th St, Alamogordo, NM 88310-6414 | 2013-02-14 |
| 1356660252 | Fillmore Eye Clinic Inc, Asc | Clinic/Center | 1124 10th St, Alamogordo, NM 88310-6414 | 2010-05-18 |
| 1083931182 | Fillmore Eye Clinic Incorporated | Ophthalmology | 1124 10th St, Alamogordo, NM 88310-6414 | 2010-04-28 |
| 1871755686 | Resource Anesthesiology Associates of De, P.a. | Anesthesiology | 1124 10th St, Alamogordo, NM 88310-6414 | 2008-07-02 |
| 1780844522 | Michael Jonathan Margolis | Ophthalmology | 1124 10th St, Medical Staff Office, Alamogordo, NM 88310-6414 | 2008-06-16 |
| 1831307594 | Parley D Fillmore | Ophthalmology | 1124 10th St, Alamogordo, NM 88310-6414 | 2007-05-18 |
| 1154346351 | Alamogordo Eye Clinic Inc | Ophthalmology | 1124 10th St, Alamogordo, NM 88310-6414 | 2006-07-12 |
| 1760427918 | William Alton Bohart | Ophthalmology | 1124 10th St, Alamogordo, NM 88310-6414 | 2006-06-19 |
| 1487657862 | Fillmore Eye Clinic Incorporated | Clinic/Center | 1124 10th St, Alamogordo, NM 88310 | 2005-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801803044 | Terry Tyrone Marquardt | Optometrist | 903 New York Ave, Alamogordo, NM 88310-6919 | 2006-08-01 |
| 1528022894 | James Donald Hamer | Optometrist | 816 10th St, Alamogordo, NM 88310-6474 | 2006-04-13 |
| 1174591507 | Leslie Verner Busby | Optometrist | 1209 New York Ave, Alamogordo, NM 88310-6727 | 2006-03-10 |
| 1598371833 | Veteto Vision Center, LLC | Optometrist | 903 New York Ave, Alamogordo, NM 88310-6919 | 2020-09-22 |
| 1568871309 | Mollie Veteto | Optometrist | 903 New York Ave, Alamogordo, NM 88310-6919 | 2014-08-06 |
| 1497095244 | Jacob Shumway Bailey | Optometrist | 1124 10th St, Alamogordo, NM 88310-6414 | 2013-02-14 |
| 1790047462 | Leslie V. Busby, O.d., P.C. | Optometrist | 1209 New York Ave, Alamogordo, NM 88310-6727 | 2012-06-08 |
| 1609017847 | White Sands Vision | Optometrist | 816 10th St, Alamogordo, NM 88310-6474 | 2009-03-18 |
| 1427106087 | Oscar H Marquardt | Optometrist | 901 Filipino Ave, Alamogordo, NM 88310-5864 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942207 | Tina Nguyen | Optometrist | Highway Junction 371, Route 9, Crownpoint, NM 87313 | 2020-08-13 |
| 1598380545 | Nina Gabrielle Ballew | Optometrist | 4411 The 25 Way Ne Ste 325, Albuquerque, NM 87109-5853 | 2020-06-15 |
| 1477178259 | Amanda C Lallensack | Optometrist | 4101 Indian School Rd Ne Ste 225, Albuquerque, NM 87110-4072 | 2020-06-08 |
| 1336762962 | June Miki Morikawa | Optometrist | Rte 301 N 21b Ave, Zuni, NM 87327 | 2020-05-18 |
| 1063042935 | Hero Vision of West Albuquerque | Optometrist | 4208 Central Ave Sw Ste G, Albuquerque, NM 87105-1695 | 2020-01-20 |
| 1780233833 | Eye Associates of New Mexico, Ltd. | Optometrist | 1817 Wellspring Ave Se Ste A, Rio Rancho, NM 87124-4956 | 2019-09-10 |
| 1891357927 | Elizabeth Aneal Dosch | Optometrist | 1415 S Valley Dr Ste 200, Las Cruces, NM 88005-3135 | 2019-06-28 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1992282206 | Jarrett Wayne Dotson | Optometrist | 7850 Jefferson St Ne Ste 160, Albuquerque, NM 87109-4314 | 2018-07-19 |
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.