| Subchapter S Corporation | |
|
1371 29th Ave, Columbus, NE 68601-4926 | |
| (402) 564-0545 | |
| (402) 564-0078 |
| Full Name | Subchapter S Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1371 29th Ave, Columbus, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972671881 | NPI | - | NPPES |
| 06952 | Other | NE | BCBS |
| N001920 | Other | NE | CHAMPUS |
| 06731 | Other | NE | BCBS |
| CH1483 | Other | RAILROAD MEDICARE | |
| 36395 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 801 (Nebraska) | Primary |
| 152W00000X | Optometrist | 1069 (Nebraska) | Secondary |
| 152W00000X | Optometrist | 1091 (Nebraska) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Subchapter S Corporation Po Box 1248, Columbus, NE 68602-1248 Ph: (402) 564-0545 | Subchapter S Corporation 1371 29th Ave, Columbus, NE 68601-4926 Ph: (402) 564-0545 |
Unity Eye Centers Inc Optometrist Medicare: Medicare Enrolled Practice Location: 605 23rd St, Columbus, NE 68601 Phone: 402-564-0545 Fax: 402-564-0078 | |
Dr. Larry E Malicky, OD FAAO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 566 S Quail Ln, Columbus, NE 68601 Phone: 402-561-0545 Fax: 402-564-0078 | |
Dr. Dennis W Kappenman Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Walmart Vision Center, 818 E. 23rd Street, Columbus, NE 68601 Phone: 402-564-0474 | |
Dr. Cody Michael Lay, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 818 E 23rd St, Columbus, NE 68601 Phone: 402-564-0474 Fax: 402-562-5488 | |
Larry E Malicky Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 566 S Quail Ln, Columbus, NE 68601 Phone: 402-980-4787 | |
Richard P Haney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3772 43rd Ave, Suite A, Columbus, NE 68601 Phone: 402-563-3686 Fax: 402-564-1797 | |
Dr. Daniel Keith Mickey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1371 29th Ave, Columbus, NE 68601 Phone: 402-564-0545 Fax: 402-564-0078 |