Organization
BLUFFS VISION CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M. DARNELL OD (VICE PRESIDENT)
(308) 635-1633
Entity
Organization
Contact information
Practice address
416 VALLEY VIEW DR, SUITE 100, SCOTTSBLUFF, NE 69361-1486
(308) 635-1633
(308) 635-2880
Mailing address
416 VALLEY VIEW DR, SUITE 100, SCOTTSBLUFF, NE 69361-1486
(308) 635-1633
(308) 635-2880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01-5420245
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093988
MEDICARE GROUP ID
—
01
—
1215933932
DR. KRIEG/NPI NUMBER
NE
01
—
1265437750
DR. DARNELL/NPI NUMBER
NE
01
—
1982600441
DR. VANDENBERGE/NPI NUMBE
NE
01
—
410024010
RAILRAOD ID FOR DR. KRIEG
—
01
—
410024011
RAILDROAD ID FOR DR. VANDENBERGE
—
05
—
506642584
—
NE
05
—
5071141255
—
NE
05
—
508566846
—
NE
01
—
CQ4076
RAILROAD MEDICARE GROUP ID
—
01
—
P00238913
RAILROAD ID FOR DR. DARNELL
—
Enumeration date
07/14/2006
Last updated
02/06/2012
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