Organization
PROFFITT EYE ASSOCIATES LLC
Active
Other names
Proffitt Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S. PROFFITT M.D. (OWNER)
(308) 382-1781
Entity
Organization
Contact information
Practice address
711 N CUSTER AVE, GRAND ISLAND, NE 68803-4311
(308) 382-1781
(308) 382-1474
Mailing address
711 N CUSTER AVE, GRAND ISLAND, NE 68803-4311
(308) 382-1781
(308) 382-1474
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-025813800
—
NE
Enumeration date
12/18/2009
Last updated
05/12/2010
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