Individual
DR. CRESTON MARSHALL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1317 W 3RD ST, ALLIANCE, NE 69301-3125
(308) 762-4056
(308) 762-4063
Mailing address
PO BOX 830, ALLIANCE, NE 69301-0830
(308) 762-4056
(308) 762-4063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02257
IA
152W00000X
Optometrist
Primary
1202
NE
152WC0802X
Corneal and Contact Management Optometrist
1202
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35599
WELLMARK BCBS
IA
01
—
37059
BCBS
NE
01
—
37069
BCBS OF NEBRASKA
NE
Enumeration date
06/22/2006
Last updated
01/28/2012
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