| Gordon Vision Center | |
|
112 N Main St, Gordon, NE 69343-1524 | |
| (308) 282-0820 | |
| (308) 282-0833 |
| Full Name | Gordon Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 112 N Main St, Gordon, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972533354 | NPI | - | NPPES |
| 507800115 | Medicaid | NE | |
| 9200912 | Medicaid | SD | |
| 507303268 | Medicaid | NE | |
| 9200330 | Medicaid | SD | |
| 9202142 | Medicaid | SD | |
| 504082854 | Medicaid | NE | |
| 508922022 | Medicaid | NE | |
| 9203682 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Vision Center 112 N Main St, Gordon, NE 69343-1524 Ph: (308) 282-0820 | Gordon Vision Center 112 N Main St, Gordon, NE 69343-1524 Ph: (308) 282-0820 |
Bradley C Marcy, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 N Main St, Gordon, NE 69343 Phone: 308-282-0820 | |
Dr. Joseph Leon Shetler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 N Main, Gordon Vision Center, Gordon, NE 69343 Phone: 308-282-0820 Fax: 308-282-0833 |