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PROFFITT EYE ASSOCIATES LLC NPI 1952630055


NPI Information

NPI: 1952630055
Provider Name: PROFFITT EYE ASSOCIATES LLC

Doing Business As: PROFFITT EYE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
711 N CUSTER AVE
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 382-1781
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PROFFITT EYE ASSOCIATES LLC is an ophthalmology in Grand Island, NE. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PROFFITT EYE ASSOCIATES LLC NPI is 1952630055. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Proffitt Eye Center.

The provider's business location address is:

711 N CUSTER AVE
GRAND ISLAND, NE
ZIP 68803-311
Phone: (308) 382-1781
Fax: (308) 382-1474

The provider's authorized official is Robert S. Proffitt .
The authorized official title is Owner and has the following contact phone number (308) 382-1781.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 5/12/2010.


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
1207W00000XOphthalmologyNEBRASKAYes

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
110-025813800MEDICAIDNEBRASKA
2NA1514MEDICARE PINNEBRASKA

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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