Organization
BLUFFS VISION CARE, PC
Active
Other names
Kimball Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB J KRIEG OD (PRESIDENT)
(308) 635-1633
Entity
Organization
Contact information
Practice address
112 S CHESTNUT ST, KIMBALL, NE 69145-1257
(308) 235-3649
Mailing address
416 VALLEY VIEW DR # 100, SCOTTSBLUFF, NE 69361-1486
(308) 635-1633
(308) 635-2880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
876
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215933932
INDIVIDUAL NPI #
NE
01
—
1710903984
GROUP NPI FOR BVC
NE
05
—
506642584
—
NE
Enumeration date
03/14/2007
Last updated
08/19/2008
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