Individual
JEREMY W MCMEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
358 N CENTRAL, SUPERIOR, NE 68978-1715
(402) 879-3233
(402) 879-3378
Mailing address
358 N CENTRAL, SUPERIOR, NE 68978-1715
(402) 879-3233
(402) 879-3378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1093
NE
152W00000X
Optometrist
1489
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263170A
—
KS
01
—
36742
BCBS NEBRASKA
NE
01
—
410033190
RAILROAD MEDICARE
NE
05
—
47080270700
—
NE
01
—
49839
BCBS KANSAS
KS
Enumeration date
10/17/2005
Last updated
06/12/2014
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