Healthcare Provider Details

I. General information

NPI: 1700862018
Provider Name (Legal Business Name): EYECARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E 6TH ST
YORK NE
68467-3015
US

IV. Provider business mailing address

PO BOX 176
YORK NE
68467-0176
US

V. Phone/Fax

Practice location:
  • Phone: 402-362-4592
  • Fax: 402-362-2794
Mailing address:
  • Phone: 402-362-4592
  • Fax: 402-362-2794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RICHARD L KANT
Title or Position: MANAGING PARTNER/OWNER
Credential: O.D.
Phone: 402-362-4592