| |
135 9th St, Syracuse, NE 68446-9740 | |
(402) 269-2321 | |
(402) 269-3475 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 135 9th St, Syracuse, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053692178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1319 (Nebraska) | Primary |
Provider Name | Tiffany J Walters |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821226861 PECOS PAC ID: 1254487945 Enrollment ID: I20090922000398 |
Mailing Address | Practice Location Address |
---|---|
135 9th St, Syracuse, NE 68446-9740 Ph: (402) 269-2321 | 135 9th St, Syracuse, NE 68446-9740 Ph: (402) 269-2321 |
Mid-plains Eyecare Center Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 135 9th St, Syracuse, NE 68446 Phone: 402-269-2321 Fax: 402-873-5149 | |
Dr. Tiffany Joy Walters, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 9th St, Syracuse, NE 68446 Phone: 402-269-2321 |