Bridgeport Vision Source is a
Optometrist based in Bridgeport, Nebraska. Bridgeport Vision Source is licensed to practice in * (Not Available) (license number ) and their current practice location is
921 Main Street, Bridgeport, Nebraska. It can be reached at their office (for appointments etc.) via phone at
(308) 262-1252.
NPI number for Bridgeport Vision Source is 1477608610 and their current mailing address is Po Box 354, Bridgeport, Nebraska. Bridgeport Vision Source
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477608610.
Healthcare Provider's Profile
Full Name | Bridgeport Vision Source |
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Type | Facility |
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Speciality | Optometrist |
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Location | 921 Main Street, Bridgeport, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477608610
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 04/11/2008
Medical Identifiers
Medical identifiers for Bridgeport Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477608610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bridgeport Vision Source is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bridgeport Vision Source Po Box 354, Bridgeport, NE 69336-0354 Ph: () - | Bridgeport Vision Source 921 Main Street, Bridgeport, NE 69336 Ph: (308) 262-1252 |
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