Organization
GOTHENBURG-COZAD VISION CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY D. GARRETT O.D. (OWNER/PRESIDENT)
(308) 537-2601
Entity
Organization
Contact information
Practice address
916 AVENUE F, GOTHENBURG, NE 69138-2060
(308) 537-2601
(308) 537-7211
Mailing address
PO BOX 449, GOTHENBURG, NE 69138-0449
(308) 537-2601
(308) 537-7211
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
743
NE
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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