MEDICARE: EYE PHYSICIANS, P.C.

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	152W00000X	Optometrist		NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02836	OTHER	NE	BLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number	:	1497732895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE PHYSICIANS, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 1275
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68602-1275
Country	:	US
Telephone Number	:	402-563-3688
Fax Number	:	402-564-1797

Provider Business Practice Location Address
First Line	:	3772 43RD AVE
Second Line	:	SUITE A
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1681
Country	:	US
Telephone Number	:	402-563-3688
Fax Number	:	402-564-1797

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	JOHN LANDERS
Credential	:
Telephone Number	:	402-563-3688

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	09/06/2023

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Directions to “EYE PHYSICIANS, P.C. ” Practice Location

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