Jay Woodworth Nelson O.D.

NPI 1073674230 - Optometrist - 152W00000X

NPI Details
NPI 1073674230
Gender Male
Enumeration Date 12/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
625 BLACK LAKE BLVD SW
OLYMPIA WA, 98502-5066, US
Phone (360) 943-2334
Fax (360) 943-2879
Business Location
625 BLACK LAKE BLVD SW
OLYMPIA WA, 98502-5066, US
Phone (360) 943-2334
Fax (360) 943-2879
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 1339
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According to our database, Dr. Jay Woodworth Nelson O.D. NPI is 1073674230, taxonomy code is 152W00000X and license number is 1339, license state is located at Washington. Jay Woodworth Nelson O.D. physically located at 625 Black Lake Blvd Sw, Olympia WA, 98502-5066. NPI Number Jay Woodworth Nelson O.D. has the Individual type.

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1073674230 NPI number is provided on an as is basis without warranty of any kind. 1073674230 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Woodworth Nelson O.D. are for informational purposes only.