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NPI Code Detail

MEDICARE: MIDWEST EYE CARE PC

MEDICARE: MIDWEST EYE CARE PC
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
1156FX1800XOptician15441NE

General Provider Information

NPI Number : 1669585196
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST EYE CARE PC
Provider Business Mailing Address
First Line : 2827 N CLARKSON ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-7714
Country : US
Telephone Number : 402-721-7222
Fax Number : 402-721-2473
Provider Business Practice Location Address
First Line : 2827 N CLARKSON ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-7714
Country : US
Telephone Number : 402-721-7222
Fax Number : 402-721-2473
Authorized Official
Title or Position : HR MANAGER
Name : CALLA PAPPAS
Credential :
Telephone Number : 402-552-2020
Provider Enumeration Date : 08/17/2006
Last Update Date : 06/24/2022

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Directions to “MIDWEST EYE CARE PC ” Practice Location

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