Organization
TKC OPTICAL, INC
Active
Other names
Exact Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE CONLEY (PRESIDENT)
(712) 252-1519
Entity
Organization
Contact information
Practice address
4919 2ND AVE, KEARNEY, NE 68847-2482
(308) 237-7693
(308) 237-2948
Mailing address
229 4TH ST, SIOUX CITY, IA 51101-1401
(712) 252-1519
(712) 252-1916
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
01-8514550
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121510
EYEMED
—
01
—
21516
SPECTERA
—
01
—
231718
MIDLANDS CHOICE
—
01
—
36375
BCBS
NE
01
—
68239D009
HEALTH PLAN SERVICE
—
Enumeration date
01/23/2007
Last updated
09/18/2008
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