Individual
WAYNE EUGENE QUINCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
503 MCMILLAN ST, HOLDREGE, NE 68949-2052
(308) 995-8697
(308) 995-8631
Mailing address
503 MCMILLAN ST, PO BOX 920, HOLDREGE, NE 68949-2052
(308) 995-8697
(308) 995-8631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
831
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6975
BCBS
NE
01
—
8083
MIDLANDS CHOICE
—
Enumeration date
06/15/2005
Last updated
02/12/2008
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