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NORTH PLATTE VISION CENTER LLC NPI 1992986467


NPI Information

NPI: 1992986467
Provider Name: NORTH PLATTE VISION CENTER, LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
402 S DEWEY ST
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 532-1753
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NORTH PLATTE VISION CENTER, LLC is an eyewear supplier in North Platte, NE. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NORTH PLATTE VISION CENTER, LLC NPI is 1992986467. The provider is registered as an organization entity type.

The provider's business location address is:

402 S DEWEY ST
NORTH PLATTE, NE
ZIP 69101-423
Phone: (308) 532-1753
Fax: (308) 532-3480

The provider's authorized official is Mark Allan Blackledge .
The authorized official title is Optometrist and has the following contact phone number (308) 532-1753.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 2/16/2012.


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 Supplier953NEBRASKAYes

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
10957230001MEDICARE NSCNEBRASKA

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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