Organization
PROFFITT EYE ASSOCIATES LLC
Active
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
Update your record
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