Organization
BLUFFS VISION CARE
Active
Other names
Valley Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN C VANDENBERGE OD (SECRETARY)
(308) 635-1633
Entity
Organization
Contact information
Practice address
1441 10TH ST, GERING, NE 69341-2816
(308) 633-2020
(308) 633-7623
Mailing address
416 VALLEY VIEW DR # 100, SCOTTSBLUFF, NE 69361-1486
(308) 635-1633
(308) 635-2880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1223
NE
152W00000X
Optometrist
797
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219670001
NORIDIAN GROUP NUMBER
NE
01
—
1710903984
GROUP NPI FOR MAIN OFFICE
NE
01
—
T74871
DR. GLEN VANDENBERGE
NE
Enumeration date
12/18/2006
Last updated
08/22/2020
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