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STATTON OPTICAL NPI 1679921720


NPI Information

NPI: 1679921720
Provider Name: STATTON OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
4645 NORMAL BLVD STE 132
LINCOLN, NE
ZIP 68506
Phone: (402) 486-4828
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STATTON OPTICAL is an eyewear supplier in Lincoln, NE. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. STATTON OPTICAL NPI is 1679921720. The provider is registered as an organization entity type.

The provider's business location address is:

4645 NORMAL BLVD STE 132
LINCOLN, NE
ZIP 68506-823
Phone: (402) 486-4828

The provider's authorized official is Stephen A Statton .
The authorized official title is Optician and has the following contact phone number (402) 486-4828.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 5/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierABOC 081991NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16549480001OTHERNEBRASKAMEDICARE PTAN
210026128600MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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