National Provider Identifier
Gary H Nelson, OPTICIAN
Gary H Nelson, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Jamestown, NY and a listed phone number of (716) 483-1955.
Profile Overview
- NPI
- 1033277629
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- December 05, 2006
- Last Updated
- November 03, 2011
Practice Location
- 707 Fairmount Ave
- Suite 11
- Jamestown, NY 14701-2623
Phone: (716) 483-1955
Mailing Address
- 707 Fairmount Ave.
- Ste 11
- Jamestown, NY 14701-2623
Specialties
- Optician (156FX1800X)
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1033277629
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Gary
- Middle Name
- H
- Name Prefix
- Mr.
- Credential
- OPTICIAN
- Mailing Street Address
- 707 Fairmount Ave.
- Mailing Address Line 2
- Ste 11
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2623
- Mailing Country
- US
- Mailing Phone
- (716) 483-1955
- Practice Street Address
- 707 Fairmount Ave
- Practice Address Line 2
- Suite 11
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2623
- Practice Country
- US
- Practice Phone
- (716) 483-1955
- Enumeration Date
- December 05, 2006
- Last Updated
- November 03, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X), Durable Medical Equipment & Medical Supplies (332B00000X)
- Other Identifiers
- 00622124 (NY)