SIDNEY VISION CLINIC LLC NPI 1376766717

NPI Information

NPI: 1376766717
Provider Name: SIDNEY VISION CLINIC LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address: 900 PINE ST
SIDNEY, NE
ZIP 69162
Phone: (308) 254-4041

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NPI Details

SIDNEY VISION CLINIC LLC is a durable medical equipment medical supplies in Sidney, NE. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SIDNEY VISION CLINIC LLC NPI is 1376766717. The provider is registered as an organization entity type.

The provider's business location address is:

900 PINE ST
SIDNEY, NE
ZIP 69162-241
Phone: (308) 254-4041
Fax: (308) 254-3718

The provider's authorized official is Jeffrey Alan Cook .
The authorized official title is Partner and has the following contact phone number (308) 254-4041.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 2/18/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025341000	MEDICAID	NEBRASKA
2	37094	OTHER	NEBRASKA	BLUE CROSS PROVIDER NMBR
3	245327	OTHER	NEBRASKA	MIDLANDS CHOICE PROV NMBR

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: 11/21/2025

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