Proffitt Eye Center

LBN: Proffitt Eye Associates Llc
Proffitt Eye Center is an health care organization with primary practice located at 711 N Custer Ave , Grand Island NE 68803-4311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Proffitt Eye Associates Llc can be contacted via phone (308) 382-1781, or through Proffitt, Robert S. via phone (308) 382-1781.

Contact Information

Primary practice address
711 N Custer Ave Grand Island NE 68803-4311
Phone: (308) 382-1781
Fax: (308) 382-1474
Website:
Map and Directions
Authorized official contact:
Name: Proffitt, Robert S. Doctor of Medicine (MD)
Phone: (308) 382-1781

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Nebraska

Profile Details

NPI number 1952630055
LBN Legal business name Proffitt Eye Associates Llc
DBA Doing business as Proffitt Eye Center
Authorized official Proffitt, Robert S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2009
Last updated May 12th, 2010 - about 15 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 1952630055 NPPES
Nebraska MEDICAID 10-025813800

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