| |
624 Howard Ave, Saint Paul, NE 68873-2023 | |
(308) 754-5609 | |
(308) 754-4338 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 624 Howard Ave, Saint Paul, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023190170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Chadwick Steven Hudnall |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245297860 PECOS PAC ID: 7810929056 Enrollment ID: I20050908000364 |
Provider Name | Stephanie N Grabowski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235426602 PECOS PAC ID: 4688847429 Enrollment ID: I20111024000345 |
Provider Name | Lynda M Conner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912106907 PECOS PAC ID: 6709961733 Enrollment ID: I20150731014298 |
Provider Name | Joshua S Conner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952415689 PECOS PAC ID: 9638254667 Enrollment ID: I20161107002553 |
Mailing Address | Practice Location Address |
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624 Howard Ave, Saint Paul, NE 68873-2023 Ph: (308) 754-5609 | 624 Howard Ave, Saint Paul, NE 68873-2023 Ph: (308) 754-5609 |