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PHYSICIANS EYEWEAR L.L.C. NPI 1790788677


NPI Information

NPI: 1790788677
Provider Name: PHYSICIANS EYEWEAR, L.L.C.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
711 N CUSTER AVE
STE 2
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 382-7223
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PHYSICIANS EYEWEAR, L.L.C. is an eyewear supplier in Grand Island, NE. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PHYSICIANS EYEWEAR, L.L.C. NPI is 1790788677. The provider is registered as an organization entity type.

The provider's business location address is:

711 N CUSTER AVE
STE 2
GRAND ISLAND, NE
ZIP 68803-311
Phone: (308) 382-7223
Fax: (308) 382-6299

The provider's authorized official is Robert S. Proffitt .
The authorized official title is Owner and has the following contact phone number (308) 382-7223.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 4/21/2011.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332H00000XEyewear 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
14650620001MEDICARE NSCNEBRASKA
2100249654-00MEDICAIDNEBRASKA

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: 11/14/2023

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