Individual
VINCENT J SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223
Mailing address
PO BOX 6068, LINCOLN, NE 68506-0068
(402) 484-9000
(402) 483-4223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0420089
KS
207W00000X
Ophthalmology Physician
Primary
14011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-20089
MEDICAL LICENSE
KS
01
—
100118450A
KANSAS MEDICAID
KS
01
—
100118450C
KANSAS MEDICAID
KS
05
—
10025619700
—
NE
01
—
14011
MEDICAL LICENSE NE
NE
01
—
180036327
RAILROAD MEDICARE
KS
01
—
2050099803
KS MEDICAID NE SERVICES
KS
01
—
P00060704
RAILROAD MEDICARE
NE
Enumeration date
07/07/2005
Last updated
09/01/2020
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