Individual
CHESTER J. MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
331 N CHERRY ST, VALENTINE, NE 69201-1880
(402) 376-2005
Mailing address
331 N CHERRY ST, VALENTINE, NE 69201-1880
(402) 376-2005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
878
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410011039
RAILROAD MEDICARE
NE
05
—
47069616600
—
NE
Enumeration date
06/30/2005
Last updated
08/20/2010
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