Individual
DR. MINDY K DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1511 M ST, ORD, NE 68862-1428
(308) 728-3229
(308) 728-5908
Mailing address
PO BOX 263, ORD, NE 68862-0263
(308) 728-3229
(308) 728-5908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0739
NH
152W00000X
Optometrist
Primary
1237
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09Y004092NH01
ANTHEM
NH
05
—
10025387200
—
NE
01
—
150458
HEALTHSOURCE
NH
05
—
30353026
—
NH
01
—
999995603
VISION SERVICE PLAN
NH
01
—
NH0739
EYE MED
NH
Enumeration date
06/03/2006
Last updated
01/14/2015
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