MEDICARE: NEW COLUMBIAN OPTICAL COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier
2	156FX1800X	Optician

General Provider Information

NPI Number	:	1174847560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW COLUMBIAN OPTICAL COMPANY

Provider Business Mailing Address
First Line	:	325 N 72ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3605
Country	:	US
Telephone Number	:	402-551-9541
Fax Number	:	402-551-9606

Provider Business Practice Location Address
First Line	:	5720 BURNET RD
Second Line	:	B
City	:	AUSTIN
State	:	TX
Zip	:	78756-1113
Country	:	US
Telephone Number	:	512-467-6968
Fax Number	:	512-467-2285

Authorized Official
Title or Position	:	COO
Name	:	MR. ALAN SANDMAN
Credential	:	RETAIL DIRECTOR
Telephone Number	:	516-944-7161

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	03/16/2010

Similar Medicare Providers

1730629817 — DR. AELINA MOMIN D.C.
Practice Location Address:

5720 BURNET RD # B
AUSTIN, TX
78756-1113

Practice Phone: 512-494-6219
Practice Fax:

1598791634 — SOUTHWEST DIAGNOSTIC CENTERS LTD
Practice Location Address:

6000 SOUTH MOPAC
AUSTIN, TX
78749-1113

Practice Phone: 512-891-9191
Practice Fax: 512-891-1909

1447550223 — MARK MALONE MD PA
Practice Location Address:

6000 S MOPAC , SUITE 100
AUSTIN, TX
78749-1113

Practice Phone: 512-244-4272
Practice Fax: 512-244-2895

1255617312 — MS. THUY V CAO MFT
Practice Location Address:

1113 ST STANISLAWS DR
AUSTIN, TX
78748-2837

Practice Phone: 424-835-0880
Practice Fax:

1528563855 — KENNY NGUYEN
Practice Location Address:

2409 UNIVERSITY AVE STOP A1900
AUSTIN, TX
78712-1113

Practice Phone: 151-247-1173
Practice Fax:

1255896874 — LAURYN MOORE RN
Practice Location Address:

12330 METRIC BLVD APT 1113
AUSTIN, TX
78758-2525

Practice Phone: 864-567-5840
Practice Fax:

Directions to “NEW COLUMBIAN OPTICAL COMPANY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.