Organization
MONUMENT VISION CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A SCHNEIDER OD (OWNER)
(308) 632-2020
Entity
Organization
Contact information
Practice address
1930 E 20TH PL, SUITE 100, SCOTTSBLUFF, NE 69361-2708
(308) 632-2020
Mailing address
PO BOX 8, SCOTTSBLUFF, NE 69363-0008
(308) 632-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B0069000
FIRST HEALTH
NE
01
—
DG8384
PALMETTO GBA
NE
Enumeration date
10/24/2006
Last updated
12/05/2012
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