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General NPI Number Information
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NPI Number | 1891771051
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Entity Type | Organization
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Legal Business Name | GRAND ISLAND OPTICAL PC
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 420 N DIERS AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4979
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Country | US
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Telephone | 308-384-0220
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Fax | 308-382-1650
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Provider Business Mailing Address
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Address Line | PO BOX 5076
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City | GRAND ISLAND
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State | NE
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Zip | 68802-5076
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Country | US
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Telephone | 308-384-0220
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Fax | 308-382-1650
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Authorized Official
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Title or Position | SECRETARY / OPTOMETRIST
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Name | DR. DAWN MICHELLE LANGFORD
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Credential | OD
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Telephone | 308-384-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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