Organization
SCOTTSBLUFF VISION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BETH MYERS (OFFICE MANAGER)
(308) 635-1234
Entity
Organization
Contact information
Practice address
3726 AVENUE D, SCOTTSBLUFF, NE 69361-4665
(308) 635-1234
(308) 635-7505
Mailing address
3726 AVENUE D, SCOTTSBLUFF, NE 69361-4665
(308) 635-1234
(308) 635-7505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
905
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7647
BLUE CROSS BLUE SHIELD
NE
Enumeration date
03/27/2007
Last updated
07/15/2022
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