| Timothy L Nelson, OD | |
|
203 N Noble Ave, Watonga, OK 73772-0590 | |
| (580) 623-5073 | |
| (580) 623-5020 |
| Full Name | Timothy L Nelson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 203 N Noble Ave, Watonga, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720058654 | NPI | - | NPPES |
| 730989130001 | Other | OK | BCBS PROVIDER NUMBER |
| 100761510A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1011 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L Nelson, OD 203 N Noble Ave, Watonga, OK 73772-0590 Ph: (580) 623-5073 | Timothy L Nelson, OD 203 N Noble Ave, Watonga, OK 73772-0590 Ph: (580) 623-5073 |
Nelson Nelson Nelson Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 203 N Noble Ave, Watonga, OK 73772 Phone: 580-623-5073 Fax: 580-623-5020 | |
Dr. Susan Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 N Clarence Nash Blvd, Watonga, OK 73772 Phone: 580-623-2300 Fax: 580-623-7533 |