is a Eyewear Supplier in North Platte, Nebraska. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for is 1336191501. The last update date is .
's current location address is 510 E Philip Ave, North Platte, Nebraska. You can contact this provider via phone number 3085347271. The mailing address for is 510 E Philip Ave, North Platte, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 510 E Philip Ave, North Platte, Nebraska |
| Phone Number | 3085347271 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336191501 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 510 E Philip Ave |
|---|---|
| City | North Platte |
| State | Nebraska (NE) |
| Post Code | 691015538 |
| Phone Number | 3085347271 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14053 | VIP | ||
| 35502 | AVESIS | ||
| 35865 | DAVIS | ||
| CP2230-29 | EYEMED | ||
| 96219 | MEDICARE | ||
| 41098505403 | NE | -- | |
| 7127 | BLOCK | ||
| 17889 | MEDICARE |
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