NELSON EYECARE INC.


Address: 3201 W Broadway Blvd, Sedalia, MO 65301-2118
Phone: 6608260683

NELSON EYECARE INC. (NPI# 1720274004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720274004
Entity Type Organization
Organization Name NELSON EYECARE INC.
Practice Address 3201 W Broadway Blvd
Sedalia
MO 65301-2118
Mailing Address 2015 Hedge Apple Dr
Sedalia
MO 65301-8986
Practice Telephone 6608260683
Mailing Telephone 6608263490
Enumeration Date 2007-09-19
Last Update Date 2007-09-19
Authorized Official Name DR. BENJAMIN B NELSON (PRESIDENT)
Authorized Official Telephone 6608263490
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2001018945 MO Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MEDICARE GROUP PROVIDER # P590000 01

Office Location

Street Address 3201 W BROADWAY BLVD
City SEDALIA
State MO
Zip Code 65301-2118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154348571 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2006-07-16
1477153211 Joan Marie Bowen Pharmacist 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2020-10-30
1275133548 Shane Landon Hatfield Pharmacist 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2020-10-27
1275133563 Connie Sue Rolf Pharmacist 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2020-10-27
1831799121 Darby William Kernohan Pharmacist 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2020-10-27
1952484578 Wal-mart Stores East, Lp Technician/Technologist 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2006-10-24
1447356134 Benjamin B Nelson Optometrist 3201 W Broadway Blvd, Sedalia, MO 65301-2118 2006-09-16

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1780174375 Sarah Elizabeth Cheatham Specialist/Technologist 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 2018-05-18
1033617790 Megan Marie Yonker Nurse Practitioner 821 Westwood Dr., Sedalia, MO 65301 2018-01-29
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497249429 Andrew R Yeager Optometrist 31995 Highway U, Sedalia, MO 65301-0831 2018-06-22
1720229255 Sedalia Optometric Clinic, Inc Optometrist 211 S Ohio Ave, Sedalia, MO 65301-4331 2009-03-12
1679631808 Rose Marie Drake Optometrist 1400 S Limit Ave, Space 75 State Fair Shopping Center, Sedalia, MO 65301-5116 2006-12-04
1205820156 Barbara Louise Knight Optometrist 316 W 4th St, Sedalia, MO 65301-4245 2005-09-07
1760482285 John Edward Drenon Optometrist 3403 W 10th St, Sedalia, MO 65301-2112 2005-07-27
1912902644 Michelle Ann Kindler Optometrist 3400 W 10th St, Sedalia, MO 65301-2198 2005-06-17
1326043787 Kevin Kyle Edward Carl Optometrist 1200 Winchester Dr, Sedalia, MO 65301-2467 2005-06-14
1932330529 Eye Clinic LLC Optometrist 1200 Winchester Dr, Sedalia, MO 65301-2467 2009-07-31
1285794396 Deanna Lynn Nelson Optometrist 1400 S Limit Ave, Space 75 State Fair Shopping Center, Sedalia, MO 65301-5116 2006-12-11
1053482711 Eyecare Specialties of Missouri LLC Optometrist 3403 W 10th St, Sedalia, MO 65301-2112 2006-11-13
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Competitor

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City SEDALIA
Zip Code 65301

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Dataset Information

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.

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