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NPI Code Detail

MEDICARE: ADVANCED EYE CARE, LLC

MEDICARE: ADVANCED EYE CARE, LLC
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
1152W00000XOptometristNE

General Provider Information

NPI Number : 1922343680
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED EYE CARE, LLC
Provider Business Mailing Address
First Line : 1414 W 12TH ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-3742
Country : US
Telephone Number : 402-462-9191
Fax Number : 402-462-9192
Provider Business Practice Location Address
First Line : 1414 W 12TH ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-3742
Country : US
Telephone Number : 402-462-9191
Fax Number : 402-462-9192
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. NATHAN BOLEN
Credential : O.D.
Telephone Number : 402-462-9191
Provider Enumeration Date : 12/06/2012
Last Update Date : 03/17/2026

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Directions to “ADVANCED EYE CARE, LLC ” Practice Location

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