NPI | 1184612616 |
---|---|
Doing Business As | CRAIG NELSON, OD |
Entity Type | Organization |
Authorized Contact | CRAIG L NELSON Doctor/Optometrist 719-658-0704 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO 1409) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2009-01-05 |