Healthcare Provider Details

I. General information

NPI: 1992761191
Provider Name (Legal Business Name): MID-PLAINS EYECARE CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N 8TH ST
NEBRASKA CITY NE
68410-2441
US

IV. Provider business mailing address

PO BOX 691
NEBRASKA CITY NE
68410-0691
US

V. Phone/Fax

Practice location:
  • Phone: 402-873-6696
  • Fax: 402-873-5149
Mailing address:
  • Phone: 402-873-6696
  • Fax: 402-873-5149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL L SALANSKY JR.
Title or Position: PRESIDENT
Credential: OD
Phone: 402-269-2321