Organization
PHYSICIANS EYEWEAR, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S. PROFFITT M.D. (OWNER)
(308) 382-7223
Entity
Organization
Contact information
Practice address
711 N CUSTER AVE, STE 2, GRAND ISLAND, NE 68803-4311
(308) 382-7223
(308) 382-6299
Mailing address
711 N CUSTER AVE, STE 2, GRAND ISLAND, NE 68803-4311
(308) 382-7223
(308) 382-6299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249654-00
—
NE
Enumeration date
05/24/2005
Last updated
04/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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