Organization
VISION CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A BOWKER OD (CO PRESIDENT)
(712) 263-2020
Entity
Organization
Contact information
Practice address
210 S 17TH ST, BLAIR, NE 68008-2055
(402) 426-2119
(402) 426-2120
Mailing address
210 S 17TH ST, BLAIR, NE 68008-2055
(402) 426-2119
(402) 426-2120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01624
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588849848
—
NE
01
—
421497919
COMMERCIAL & OTHER STATES
NE
01
—
A004235
CHAMPUS
NE
Enumeration date
01/07/2008
Last updated
10/18/2023
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