Individual
WALTER CRAIG MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
503 MCMILLAN ST, HOLDREGE, NE 68949-2052
(308) 995-8697
(308) 995-6931
Mailing address
503 MCMILLAN ST, HOLDREGE, NE 68949-2052
(308) 995-8697
(308) 995-6931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
904
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6885
BCBS
NE
01
—
8077
MIDLANDS CHOICE
NE
Enumeration date
06/15/2005
Last updated
02/12/2008
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