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NPI Code Detail

MEDICARE: OPTOMETRIC CENTER OF COLUMBUS, P.C.

MEDICARE: OPTOMETRIC CENTER OF COLUMBUS, 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
1152W00000XOptometrist945NE
2152W00000XOptometrist866NE

General Provider Information

NPI Number : 1710178892
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTOMETRIC CENTER OF COLUMBUS, P.C.
Provider Business Mailing Address
First Line : 3702 23RD ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-3023
Country : US
Telephone Number : 402-564-2020
Fax Number : 402-563-2020
Provider Business Practice Location Address
First Line : 3702 23RD ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-3023
Country : US
Telephone Number : 402-564-2020
Fax Number : 402-563-2020
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAY R TROFHOLZ
Credential : O.D.
Telephone Number : 402-564-2020
Provider Enumeration Date : 08/05/2007
Last Update Date : 04/20/2008

Similar Medicare Providers

1881680486 — DR. JAY ROBERT TROFHOLZ O.D.
Practice Location Address:
3702 23RD ST
COLUMBUS, NE
68601-3023
Practice Phone: 402-564-2020
Practice Fax: 402-563-2020
1750377354 — DR. KEVIN M HOBBS O.D.
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1811901481 — DR. MATTHEW WADE DINSLAGE O.D.
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68601-3023
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1134410830 — MINDY L WEMHOFF HIS
Practice Location Address:
3704 23RD ST
COLUMBUS, NE
68601-3023
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Practice Fax: 402-563-9197
1912477852 — COLUMBUS AUDIOLOGICAL SERVICES P.C.
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1780517763 — JOYCE PERRY HOME
Practice Location Address:
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Directions to “OPTOMETRIC CENTER OF COLUMBUS, P.C. ” Practice Location

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