PELICAN RIVER OPTICAL
NPI 1891965562
Eyewear Supplier in Detroit Lakes, MN

Q: What is Bruce D Nelson's NPI number?

The NPI number for Bruce D Nelson is 1891965562. It was assigned to this organization in the NPPES registry on March 9, 2008. The provider is doing business as Pelican River Optical.

Q: What is Bruce D Nelson's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce D Nelson was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2008

1131 JACKSON AVE, DETROIT LAKES, MN 56501(218) 847-5663(218) 847-0964 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pelican River Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PELICAN RIVER OPTICAL (NPI 1891965562) is a healthcare organization registered as an eyewear supplier in Detroit Lakes, Minnesota and active in the NPI registry since March 2008. The organization lists Bruce Donald Nelson, Optician/owner, as its authorized official.

NPPES Registry Identity

NPI1891965562

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameBRUCE D NELSON

Location Address1131 JACKSON AVEDetroit Lakes, MN 56501-3618

Mailing Address1131 Jackson AveDetroit Lakes, MN 56501-3618 · (218) 847-5663 · Fax (218) 847-0964

Phone(218) 847-5663

Fax(218) 847-0964

Organization SubpartNo

Authorized OfficialBruce Donald NelsonOptician/owner · (218) 847-5663

Enumeration DateMarch 9, 2008

Last NPPES UpdateJuly 16, 2008

✔ NPI 1891965562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

1131 JACKSON AVE, Detroit Lakes, MN 56501

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Other Names 1

Doing Business AsPelican River Optical

Other Identifiers 1

Medicare NSC0181390001MN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYNDGATE HEALTH PLLC

Psychiatry & Neurology (Psychiatry)

1131 JACKSON AVE
DETROIT LAKES, MN 56501

Becker County (320) 220-0546

DR. JENNIFER ELYSE PEDERSEN DC

Chiropractor

1131 JACKSON AVE
DETROIT LAKES, MN 56501

Becker County (218) 844-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce D Nelson's NPI number?

The NPI number for Bruce D Nelson is 1891965562. It was assigned to this organization in the NPPES registry on March 9, 2008. The provider is doing business as Pelican River Optical.

Where is Bruce D Nelson located?

Bruce D Nelson is located at 1131 Jackson Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-5663.

What is Bruce D Nelson's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Bruce D Nelson was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.