Gordon Vision Center

LBN: Chadron Vision Center, Inc.
Gordon Vision Center is an health care organization with primary practice located at 112 N Main St , Gordon NE 69343-1524. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Chadron Vision Center, Inc. can be contacted via phone (308) 282-0820, or through Shetler, Joseph L. via phone (308) 282-0820.

Contact Information

Primary practice address
112 N Main St Gordon NE 69343-1524
Phone: (308) 282-0820
Fax: (308) 282-0833
Website:
Map and Directions
Authorized official contact:
Name: Shetler, Joseph L. Doctor of Optometry (OD)
Phone: (308) 282-0820

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1972533354
LBN Legal business name Chadron Vision Center, Inc.
DBA Doing business as Gordon Vision Center
Authorized official Shetler, Joseph L. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 6th, 2011 - about 13 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 1972533354 NPPES
Nebraska MEDICAID 507800115
Nebraska MEDICAID 9200912
Nebraska MEDICAID 507303268
Nebraska MEDICAID 9200330
Nebraska MEDICAID 9202142
Nebraska MEDICAID 504082854
Nebraska MEDICAID 508922022
Nebraska MEDICAID 9203682

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