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Organization

KEARNEY EYE INSTITUTE, P.C.

Active
Parent organization
KEARNEY EYE INSTITUTE
Other names
Kearney Eye Institute Optical
Organization subpart
Yes

Provider details

NPI number
Legal business name
KEARNEY EYE INSTITUTE
Authorized official
MRS. JILL A ELLIOTT (BUSINESS MANAGER)
(308) 865-2760
Entity
Organization

Contact information

Practice address
411 W 39TH ST, KEARNEY, NE 68845-2805
(308) 865-2760
(308) 865-2769
Mailing address
411 W 39TH ST, KEARNEY, NE 68845-2805
(308) 865-2760
(308) 865-2769

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025593300
NE
Enumeration date
07/27/2021
Last updated
07/27/2021
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