Healthcare Provider Details

I. General information

NPI: 1013084409
Provider Name (Legal Business Name): HASTINGS VISION CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 W 12TH ST
HASTINGS NE
68901-3605
US

IV. Provider business mailing address

2119 W 12TH ST
HASTINGS NE
68901-3605
US

V. Phone/Fax

Practice location:
  • Phone: 402-462-8816
  • Fax: 402-462-8050
Mailing address:
  • Phone: 402-462-8816
  • Fax: 402-462-8050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number952
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number952
License Number StateNE

VIII. Authorized Official

Name: DR. RICHARD J ARNESON
Title or Position: OWNER
Credential: O.D.
Phone: 402-462-8816