Organization
EYE SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY E SUTTON MD (GROUP PRESIDENT)
(402) 484-9000
Entity
Organization
Contact information
Practice address
1710 S 70TH ST, LINCOLN, NE 68506
(402) 484-9000
(402) 483-4223
Mailing address
PO BOX 6068, LINCOLN, NE 68506-0068
(402) 484-9000
(402) 483-4223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22765
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025619700
—
NE
01
—
CI9011
RAILROAD MEDICARE GROUP
NE
Enumeration date
06/20/2005
Last updated
05/24/2018
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