RICHARD A NELSON (NPI# 1912934803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912934803 |
| Entity Type | Individual |
| Full Name | RICHARD A NELSON |
| Credential | OD |
| Practice Address |
2205 Harrison Road Wal-mart Vision Center Thomson GA 30824 |
| Mailing Address |
Po Box 5721 Attn: Administrator Columbia SC 29250 |
| Practice Telephone | 7065959534 |
| Practice Fax Number | 7065956512 |
| Mailing Telephone | 8037792273 |
| Mailing Fax Number | 8037990854 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT001682 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1032 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D10325 | 05 | |
| SC | SELECT HEALTH OF SC | 20047638 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443591 | Richard Nelson | Counselor | 3641 Brumbaugh Blvd, Trotwood, OH 45416-1326 | 2018-04-05 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| 1750880670 | Richard Nelson Jr. | Driver | 6239 Edgewater Dr Ste 2, Orlando, FL 32810-4736 | 2018-02-06 |
| 1235477381 | Richard Arthur Nelson | Psychiatry & Neurology | 6 Hathaway Cres, Sugar Grove, IL 60554-4137 | 2013-01-24 |
| 1902188824 | Richard Roe Nelson | Dentist | 24105 184th Ave Se, Covington, WA 98042-4896 | 2011-09-16 |
| 1316105000 | Richard John Nelson | Internal Medicine | 1404 Canterbury Dr, Salt Lake City, UT 84108-2831 | 2008-05-29 |
| 1942494968 | Richard Gary Nelson | Counselor | 963 Wolf Creek Dr, Longmont, CO 80501-8731 | 2007-09-03 |
| 1871783886 | Richard T Nelson IIi | Dentist | 7878 Jefferson Paige Rd, Shreveport, LA 71119-8865 | 2007-07-26 |
| 1255541843 | Richard T Nelson | Internal Medicine | 2535 Maplecrest Rd Ste 10, Bettendorf, IA 52722-2799 | 2007-05-23 |
| 1205965845 | Richard Loren Nelson | Pharmacist | 2010 Yakima Valley Hwy Ste C1, Sunnyside, WA 98944-1289 | 2007-03-02 |
| Street Address |
2205 HARRISON ROAD WAL-MART VISION CENTER |
| City | THOMSON |
| State | GA |
| Zip Code | 30824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1750878039 | Amber Nichole Wood | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, 1st Floor, Staten Island, NY 30824 | 2018-04-22 |
| 1861854176 | Family Care Group of Thomson,inc | Family Medicine | 2508 University Dr, Thomson, GA 30824 | 2016-03-25 |
| 1174900674 | Carolyn Louise Samuels | Behavioral Analyst | 1139 Washington Rd, Thomson, GA 30824 | 2015-05-04 |
| 1013343953 | David Carroll Hughes | Dentist | 540 West Hill St., Thomson, GA 30824 | 2013-09-24 |
| 1295067270 | Wesley Alan Mccarthy | Counselor | 114 East Hall Street, Thompson, GA 30824 | 2010-02-02 |
| 1417280439 | Charles Edward Jones | Counselor | 114 East Hall St, Thomson, GA 30824 | 2009-09-09 |
| 1700055779 | Drs Jopling and Brunson | Dentist | 115 Gordon Street, Thomson, GA 30824 | 2008-02-25 |
| 1871630483 | Robert F. Polglase | Emergency Medicine | 521 Hill St, S.w., Thomson, GA 30824 | 2007-01-31 |
| 1861553141 | The Homeplace Adult Daycare, Inc. | Custodial Care Facility | 1324 Wrightsboro Road, Thomson, GA 30824 | 2006-12-12 |
| Find all providers in zip 30824 | ||||
| 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 |
|---|---|---|---|---|
| 1508885880 | Charles Robert Hughes Jr. | Optometrist | 311 Fluker St, Thomson, GA 30824-2108 | 2006-07-18 |
| 1063475168 | Terry W. Miller | Optometrist | 2205 Harrison Rd, Thomson, GA 30824 | 2006-04-10 |
| 1508088774 | Family Eye Care Associates PC | Optometrist | 311 Fluker St, Thomson, GA 30824-2108 | 2007-05-03 |
| 1386754836 | Michael S Mcquaig | Optometrist | 311 Fluker St, Thomson, GA 30824-2108 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850466 | Kelsea Brown | Optometrist | 2184 Henderson Mill Rd Ne Ste 12b, Atlanta, GA 30345-3762 | 2020-10-28 |
| 1437756459 | Atl Optical LLC | Optometrist | 9380 The Landing Dr Ste B, Douglasville, GA 30135-7177 | 2020-10-02 |
| 1831703289 | First Class Eye Care, LLC | Optometrist | 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097-8628 | 2020-09-03 |
| 1770196636 | Orbic Eye Care | Optometrist | 339 Furys Ferry Rd Ste 1, Martinez, GA 30907-3072 | 2020-08-28 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1629680830 | Mobile Medical Eye Care LLC | Optometrist | 110 Moseley Crossing Dr, Stockbridge, GA 30281-6501 | 2020-08-19 |
| 1376154963 | Family First Vision Care Georgia | Optometrist | 1401 Johnson Ferry Rd Ste 148b, Marietta, GA 30062-6499 | 2020-08-17 |
| 1740890284 | Woodstock Eye Associates LLC | Optometrist | 113 Lincoln St, Woodstock, GA 30188-7800 | 2020-08-07 |
| 1770101818 | Tony Lam | Optometrist | 2549 Piedmont Rd Ne Ste 120, Atlanta, GA 30324-3023 | 2020-07-06 |
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.