Sidney Vision Clinic Llc

LBN: Sidney Vision Clinic Llc
Sidney Vision Clinic Llc is an health care organization with primary practice located at 900 Pine St , Sidney NE 69162-2241. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Sidney Vision Clinic Llc can be contacted via phone (308) 254-4041, or through Cook, Jeffrey Alan via phone (308) 254-4041.

Contact Information

Primary practice address
900 Pine St Sidney NE 69162-2241
Phone: (308) 254-4041
Fax: (308) 254-3718
Website:
Map and Directions
Authorized official contact:
Name: Cook, Jeffrey Alan Doctor of Optometry (OD)
Phone: (308) 254-4041

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 892 Nebraska
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 892 Nebraska
Eye and Vision Services Providers / Pediatrics 152WP0200X 892 Nebraska
Eye and Vision Services Providers / Sports Vision 152WS0006X 892 Nebraska
Eye and Vision Services Providers / Vision Therapy 152WV0400X 892 Nebraska
Eye and Vision Services Providers / Occupational Vision 152WX0102X 892 Nebraska

Profile Details

NPI number 1073739470
LBN Legal business name Sidney Vision Clinic Llc
DBA Doing business as
Authorized official Cook, Jeffrey Alan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Feb 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073739470 NPPES
Nebraska Other 37094 BCBS PROVIDER NUMBER
Nebraska MEDICAID 10025341000 BCBS PROVIDER NUMBER
Nebraska Other 410025992 BCBS PROVIDER NUMBER
Nebraska Other 245327 BCBS PROVIDER NUMBER

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