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Contact Information

JEROM NELSON, OD
1124 10TH ST
ALAMOGORDO, NM88310-6414
 Phone: 575-434-1200
 Fax: 575-437-3947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEROM NELSON · (Male)

NPI Number 1639419385
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/18/2013
Last updated 07/22/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ID License # ODP-100286
  • NM License # 673
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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