Organization
VALENTINE VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN K BANCROFT O.D. (OWNER)
(402) 376-2020
Entity
Organization
Contact information
Practice address
318 N MAIN ST, VALENTINE, NE 69201-1842
(402) 376-2020
(402) 376-1652
Mailing address
318 N MAIN ST, VALENTINE, NE 69201-1842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06790
BLUE CROSS BLUE SHIELD
NE
01
—
229986
MIDLANDS CHOICE
—
01
—
410011000
TRAVELERS
—
05
—
9200950
—
SD
Enumeration date
03/14/2007
Last updated
12/09/2009
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