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OPTICAL GALLERY LLC NPI 1376716555


NPI Information

NPI: 1376716555
Provider Name: OPTICAL GALLERY LLC

Other Name: OPTICAL GALLERY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2205 N 6TH ST
BEATRICE, NE
ZIP 68310
Phone: (402) 223-2950
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OPTICAL GALLERY LLC is an eyewear supplier in Beatrice, NE. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. OPTICAL GALLERY LLC NPI is 1376716555. The provider is registered as an organization entity type.
The provider Other Name Is Optical Gallery.

The provider's business location address is:

2205 N 6TH ST
BEATRICE, NE
ZIP 68310-264
Phone: (402) 223-2950
Fax: (402) 223-5320

The provider's authorized official is Karen Henzel .
The authorized official title is Manager and has the following contact phone number (402) 223-2950.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.


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 SupplierYes

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
110025614300MEDICAIDNEBRASKA

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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