Dr. Susan J Anderson-Nelson
Ophthalmologist
2015 N Main St
Wheaton
, Illinois 60187-3152
Dr. Susan J Anderson-Nelson
Ophthalmologist
2015 N Main St
Wheaton
, Illinois 60187-3152
(630) 668-8916
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Susan J Anderson-Nelson
- 2015 N Main St
- Wheaton, IL
- Zip : 60187-3152
- Fax : (630) 668-8916
- Phone : (630) 668-8250
Second Address
- Dr. Susan J Anderson-Nelson
- 2015 N Main St
- Wheaton, IL
- Zip : 60187-3152
- Fax : (630) 668-8916
- Phone : (630) 668-8250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 36-079057 | IL |
National Provider Identifier
| NPI | 1013904986 |
|---|---|
| Provider Name | Dr. Susan J Anderson-Nelson |
| First Address | Wheaton, IL 60187-3152 |
| Second Address | Wheaton, IL 60187-3152 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2005 |
| Last Update Date | 21/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036079057 | (05) | IL |
| 180012234 | RR MEDICARE (01) | IL |
| E86430 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.