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OPTICAL GALLERY LLC NPI 1952544215


NPI Information

NPI: 1952544215
Provider Name: OPTICAL GALLERY LLC

Doing Business As: OPTICAL GALLERY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1550 S CODDINGTON AVE
SUITE V
LINCOLN, NE
ZIP 68522
Phone: (402) 470-0074
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OPTICAL GALLERY LLC is an eyewear supplier in Lincoln, 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 1952544215. The provider is registered as an organization entity type.
The provider Is Doing Business As Optical Gallery.

The provider's business location address is:

1550 S CODDINGTON AVE
SUITE V
LINCOLN, NE
ZIP 68522-402
Phone: (402) 470-0074
Fax: (402) 261-5855

The provider's authorized official is Kimberl;y A Raymond .
The authorized official title is Optometrist And Owner and has the following contact phone number (402) 470-0074.

The enumeration date for this NPI number is 4/15/2009 and was last updated on 3/29/2012.


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
1NA1068MEDICARE PINNEBRASKA
210025701100MEDICAIDNEBRASKA
36183090003MEDICARE NSCNEBRASKA

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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