Eyecare Professionals | |
420 N Diers Ave, Grand Island, NE 68803-4979 | |
(308) 384-0220 | |
(308) 382-1650 |
Full Name | Eyecare Professionals |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 420 N Diers Ave, Grand Island, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891771051 | NPI | - | NPPES |
07783 | Other | BLUE CROSS BLUE SHIELD | |
CS1323 | Other | RAILROAD MEDICARE | |
0290380001 | Other | MEDICARE DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Provider Name | Jason James Langford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043296114 PECOS PAC ID: 8820129760 Enrollment ID: I20100622000100 |
Provider Name | Dawn Michelle Langford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639156144 PECOS PAC ID: 6305977257 Enrollment ID: I20100622000255 |
Provider Name | Christa Mary Hunnicutt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982832887 PECOS PAC ID: 5193857183 Enrollment ID: I20100709000029 |
Provider Name | Tyler Andrew Hanson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104267103 PECOS PAC ID: 7315180890 Enrollment ID: I20130903000093 |
Provider Name | William Anthony Kusek |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912350687 PECOS PAC ID: 9931476884 Enrollment ID: I20170530002174 |
Mailing Address | Practice Location Address |
---|---|
Eyecare Professionals Po Box 5076, Grand Island, NE 68802-5076 Ph: (308) 384-0220 | Eyecare Professionals 420 N Diers Ave, Grand Island, NE 68803-4979 Ph: (308) 384-0220 |