Nelson, Stanley J
Nelson, Stanley J is an sole proprietor health care provider with primary practice located at 715 Broadway , Marysville KS 66508-1841. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Nelson, Stanley J can be contacted via phone (785) 562-2631.Contact Information
Primary practice address
715 Broadway
Marysville KS 66508-1841
Phone: (785) 562-2631
Fax: (785) 562-4006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1124-3 | Kansas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1124-3 | Kansas |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1124-3 | Kansas |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1124-3 | Kansas |
Profile Details
| NPI number | 1891736146 |
|---|---|
| LBN Legal business name | Nelson, Stanley J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 11th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891736146 | NPPES |
| Nebraska | MEDICAID | 100250616-00 | |
| Nebraska | Other | 0000005204 |
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