Organization
CHADRON VISION CENTER, INC.
Active
Parent organization
CHADRON VISION CENTER INC
Other names
Gordon Vision Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHADRON VISION CENTER INC
Authorized official
DR. JOSEPH L. SHETLER O.D. (OWNER / OPTOMETRIST)
(308) 282-0820
Entity
Organization
Contact information
Practice address
112 N MAIN ST, GORDON, NE 69343-1524
(308) 282-0820
(308) 282-0833
Mailing address
112 N MAIN ST, GORDON, NE 69343-1524
(308) 282-0820
(308) 282-0833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504082854
—
NE
05
—
507303268
—
NE
05
—
507800115
—
NE
05
—
508922022
—
NE
05
—
9200330
—
SD
05
—
9200912
—
SD
05
—
9202142
—
SD
05
—
9203682
—
SD
Enumeration date
07/03/2006
Last updated
07/06/2011
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