Jared W Nelson (NPI# 1518304435, PAC ID# 3476794199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1518304435 |
| PAC ID by PECOS | 3476794199 |
| Professional Enrollment ID | I20130723000543 |
| Full Name | Jared W Nelson |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
747 S Main St Brigham City UT 84302-3359 |
| Phone Number | 4357231800 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 747 S Main St, Brigham City, UT 84302-3359 | 4357231800 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Brooke A Wiener | Optometry | Shopko Stores Operating Co LLC | 5630 St Croix Trail, North Branch, MN 55056 |
| Street Address |
747 S MAIN ST |
| City | BRIGHAM CITY |
| State | UT |
| Zip | 84302-3359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deserae J Goble | Family Medicine | 1950 S Hyway, Suite 89, Perry, UT 84302 | |
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Chantel B Murrah | Podiatry | 775 N 200, Willow Glen Health and Rehabilitation, Brigham City, UT 84302-1303 | |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Tara Lee Dalton | Physician Assistant | Access Healthcare LLC | 5 W 200, Brigham City, UT 84302-2109 |
| Christie Lynn Powell | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Cyndi Susan Tangren | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Suzanne E Lee | Family Medicine | Community Health Centers Inc. | 14 N 100 E, 2 Clinica De Buena Salud, Brigham City, UT 84302-2170 |
| Larry D Terry | Optometry | 34 S Main St, Brigham City, UT 84302-2527 | |
| Stephan Michael Moss | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Find all physicians in zip 84302 | |||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
| Specialty | OPTOMETRY |
| City + Specialty | BRIGHAM CITY + OPTOMETRY |
Please comment or provide details below to improve the information on Jared W Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.