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Individual

DR. JOSEPH LEON SHETLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
112 N MAIN, GORDON VISION CENTER, GORDON, NE 69343-1524
(308) 282-0820
(308) 282-0833
Mailing address
112 N MAIN, GORDON VISION CENTER, GORDON, NE 69343-1524
(308) 282-0820
(308) 282-0833

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
621
SD
152W00000X
Optometrist
Primary
939
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06923
BCBS
NE
01
410017859
RR MEDICARE
NE
01
4993075
WELLMARK BCBS
SD
05
9202140
SD
05
9202142
SD
05
9202143
SD
Enumeration date
03/29/2006
Last updated
07/15/2010
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