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Individual

DR. ROGER C MCCARTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1511 M ST, ORD, NE 68862-1428
(308) 728-3229
(308) 728-5908
Mailing address
800 S 23RD ST, PO BOX 312, ORD, NE 68862-1674
(308) 728-3420
(308) 728-5908

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
809
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0382230001
DME MAC
NE
01
06726
BLUE CROSS BLUE SHIELD
NE
01
098964
MEDICARE GROUP
NE
01
1245308253
MEDICARE NSC
NE
05
47063736300
NE
05
47063736302
NE
Enumeration date
11/02/2005
Last updated
12/19/2014
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