PRAIRIE EYECARE CENTER PC NPI 1932190527

NPI Information

  • NPI: 1932190527
  • Provider Name: PRAIRIE EYECARE CENTER PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Former Legal Business Name: PRAIRIE EYECARE CENTER LLC
  • Address: 408 S 8TH AVE
    BROKEN BOW, NE
    ZIP 68822
  • Phone: (308) 872-2291

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NPI Details

PRAIRIE EYECARE CENTER PC is an optometrist in Broken Bow, NE. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PRAIRIE EYECARE CENTER PC NPI is 1932190527. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Prairie Eyecare Center Llc.

The provider's business location address is:

408 S 8TH AVE
BROKEN BOW, NE
ZIP 68822-009
Phone: (308) 872-2291
Fax: (308) 872-3122

The provider's authorized official is Jeffrey W Sanger .
The authorized official title is Owner and has the following contact phone number (308) 872-2291.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 8/5/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristYes

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
16110430001MEDICARE NSCNEBRASKA
2NA1061MEDICARE PINNEBRASKA
310025628100MEDICAIDNEBRASKA
40723900001MEDICARE NSCNEBRASKA
5DN0887OTHERNEBRASKARR MEDICARE PTAN
6098011PRMEDICARE ID-TYPE UNSPECIFIEDNEBRASKAGROUP MEDICARE #
747077269013MEDICAIDNEBRASKA
8C04190OTHERNEBRASKAPALMETTO GBA RAILROAD MED

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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