Healthcare Provider Details

I. General information

NPI: 1922175512
Provider Name (Legal Business Name): EYE PHYSICIANS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 N ST
NELIGH NE
68756-1428
US

IV. Provider business mailing address

304 N ST
NELIGH NE
68756-1428
US

V. Phone/Fax

Practice location:
  • Phone: 402-887-4506
  • Fax:
Mailing address:
  • Phone: 402-887-4506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOHN LANDERS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 402-563-3688