Organization · Type 2 NPI
Bruce D Nelson
Eyewear Supplier · Detroit Lakes, MN
NPI number
1891965562
Active
Practice location
1131 Jackson Ave
Detroit Lakes, MN 56501-3618
Fax (218) 847-0964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2 other providers at this address
Other eyewear supplier providers in Detroit Lakes
About NPI 1891965562
Bruce D Nelson's National Provider Identifier is 1891965562, issued on Mar 9, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jul 16, 2008.