GRAND ISLAND OPTICAL PC NPI 1891771051

NPI Information

  • NPI: 1891771051
  • Provider Name: GRAND ISLAND OPTICAL PC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 28D2056578
  • Address: 420 N DIERS AVE
    GRAND ISLAND, NE
    ZIP 68803
  • Phone: (308) 384-0220

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NPI Details

GRAND ISLAND OPTICAL PC 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. GRAND ISLAND OPTICAL PC NPI is 1891771051. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

420 N DIERS AVE
GRAND ISLAND, NE
ZIP 68803-979
Phone: (308) 384-0220
Fax: (308) 382-1650

The provider's authorized official is Dawn Michelle Langford .
The authorized official title is Secretary / Optometrist and has the following contact phone number (308) 384-0220.

The CLIA number assigned to this NPI record is 28D2056578 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 9/11/2025.

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
1152W00000XOptometristNo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107783OTHERBLUE CROSS BLUE SHIELD
2CS1323OTHERRAILROAD MEDICARE
30290380001OTHERMEDICARE DMERC

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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