MEDICARE: DR. NELSON STEPHEN DELGADO O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	MD1273	MD

General Provider Information

NPI Number	:	1770601106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NELSON STEPHEN DELGADO O.D.

Provider Business Mailing Address
First Line	:	10300 LITTLE PATUXENT PKWY
Second Line	:	SUITE 1005-B
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3341
Country	:	US
Telephone Number	:	410-740-9952
Fax Number	:	410-740-9731

Provider Business Practice Location Address
First Line	:	10300 LITTLE PATUXENT PKWY
Second Line	:	SUITE 1005-B
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3341
Country	:	US
Telephone Number	:	410-740-9952
Fax Number	:	410-740-9731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	11/06/2025

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