Organization
HOLDREGE FAMILY VISION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE E QUINCY O.D. (PRES OPTOMETRIST)
(308) 995-8697
Entity
Organization
Contact information
Practice address
503 MCMILLAN ST, HOLDREGE, NE 68949-2052
(308) 995-8697
(308) 995-6931
Mailing address
503 MCMILLAN ST, HOLDREGE, NE 68949-2052
(308) 995-8697
(308) 995-6931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
831 AND 904
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070602
BCBS GROUP
NE
Enumeration date
06/15/2005
Last updated
04/20/2008
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