Organization
EYECARE ASSOCIATES OF COLUMBUS PC
Active
Other names
Subchapter S Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL K MICKEY OD (OWNER)
(402) 352-3855
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, SCHUYLER, NE 68661-1300
(402) 352-3855
(402) 352-3869
Mailing address
1 HOSPITAL DR, PO BOX 516, SCHUYLER, NE 68661-1300
(402) 352-3855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1069
NE
152W00000X
Optometrist
1091
NE
152W00000X
Optometrist
Primary
801
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06731
BCBS
NE
01
—
06952
BCBS
NE
01
—
36395
BCBS
NE
01
—
CH1483
RAILROAD MEDICARE GROUP
—
01
—
CHAMPUS
N001930
NE
Enumeration date
12/08/2006
Last updated
06/17/2008
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