Sidney Vision Clinic Llc is a
Optometrist based in Sidney, Nebraska. Sidney Vision Clinic Llc is licensed to practice in Nebraska (license number 892) and their current practice location is
900 Pine St, Sidney, Nebraska. It can be reached at their office (for appointments etc.) via phone at
(308) 254-4041.
NPI number for Sidney Vision Clinic Llc is 1073739470 and their current mailing address is Po Box 61, Sidney, Nebraska. Sidney Vision Clinic Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073739470.
Healthcare Provider's Profile
| Full Name | Sidney Vision Clinic Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 900 Pine St, Sidney, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073739470
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 02/19/2020
Medical Identifiers
Medical identifiers for Sidney Vision Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073739470 | NPI | - | NPPES |
| 37094 | Other | NE | BCBS PROVIDER NUMBER |
| 10025341000 | Medicaid | NE | |
| 410025992 | Other | NE | UHC RR MEDICARE PROVIDER |
| 245327 | Other | NE | MIDLANDS CHOICE PROV NMBR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 892 (Nebraska) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 892 (Nebraska) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 892 (Nebraska) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 892 (Nebraska) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 892 (Nebraska) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 892 (Nebraska) | Secondary |
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. Sidney Vision Clinic Llc 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 |
|---|
Sidney Vision Clinic Llc
Po Box 61,
Sidney, NE 69162-0061
Ph: (308) 254-4041 | Sidney Vision Clinic Llc
900 Pine St,
Sidney, NE 69162-2241
Ph: (308) 254-4041 |
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