Healthcare Provider Details

I. General information

NPI: 1902056898
Provider Name (Legal Business Name): BESSLER FAMILY EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 MAIN AVE
CRETE NE
68333-2259
US

IV. Provider business mailing address

1119 MAIN AVE
CRETE NE
68333-2259
US

V. Phone/Fax

Practice location:
  • Phone: 402-826-2246
  • Fax: 402-826-3612
Mailing address:
  • Phone: 402-826-2246
  • Fax: 402-826-3612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1289
License Number StateNE

VIII. Authorized Official

Name: DR. DEBORAH BESSLER
Title or Position: OPTOMETRIST
Credential:
Phone: 402-418-7102