Organization
PRAIRIE EYECARE CENTER PC
Active
Other names
Prairie Eyecare Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W SANGER O.D. (OWNER)
(308) 872-2291
Entity
Organization
Contact information
Practice address
408 S 8TH AVE, BROKEN BOW, NE 68822-2009
(308) 872-2291
(308) 872-3122
Mailing address
PO BOX 506, 408 S 8TH AVE, BROKEN BOW, NE 68822-0506
(308) 872-2291
(308) 872-3122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025628100
—
NE
05
—
47077269013
—
NE
01
—
C04190
PALMETTO GBA RAILROAD MED
NE
01
—
DN0887
RR MEDICARE PTAN
NE
Enumeration date
11/02/2005
Last updated
08/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us