Organization
SUPERIOR VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY W. MCMEEN O.D. (OWNER)
(402) 879-3233
Entity
Organization
Contact information
Practice address
358 CENTRAL AVE, SUPERIOR, NE 68978
(402) 879-3233
(402) 879-3378
Mailing address
358 CENTRAL AVE, SUPERIOR, NE 68978
(402) 879-3233
(402) 879-3378
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1093
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263170A
—
KS
01
—
36742
BCBS NEBRASKA
NE
01
—
410033190
PALMETTO RAILROAD MEDICARE
NE
01
—
49839
BCBS KANSAS
KS
Enumeration date
11/24/2008
Last updated
06/27/2014
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