Individual
DR. JOHN A GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
111 S BAILEY AVE, NORTH PLATTE, NE 69101-5404
(308) 537-3390
(308) 537-3391
Mailing address
111 S BAILEY AVE, NORTH PLATTE, NE 69101-5404
(308) 534-2000
(308) 534-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1166
NE
332H00000X
Eyewear Supplier
1166
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06754
BLUE CROSS BLUE SHIELD NE
NE
05
—
10024975800
—
NE
01
—
240481
MIDLANDS CHOICE
—
Enumeration date
05/25/2006
Last updated
09/08/2023
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