Organization
PREMIER EYE CARE AND CONTACT LENS SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KELLY GILBREATH OD (OPTOMETRIST)
(402) 661-9033
Entity
Organization
Contact information
Practice address
920 E 56TH ST, D3, KEARNEY, NE 68847-8628
(308) 455-1283
(308) 455-1285
Mailing address
920 E 56TH ST, D3, KEARNEY, NE 68847-8628
(308) 455-1283
(308) 455-1285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1325
NE
Other
Enumeration date
07/08/2011
Last updated
10/19/2011
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