| |
711 N Custer Ave Ste 2, Grand Island, NE 68803-4311 | |
(308) 382-7223 | |
(308) 382-6299 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 711 N Custer Ave Ste 2, Grand Island, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386225068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
411 W 39th St, Kearney, NE 68845-2805 Ph: (308) 865-2760 | 711 N Custer Ave Ste 2, Grand Island, NE 68803-4311 Ph: (308) 382-7223 |