Organization
NORTH PLATTE VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLAN BLACKLEDGE O.D. (OPTOMETRIST)
(308) 532-1753
Entity
Organization
Contact information
Practice address
402 S DEWEY ST, NORTH PLATTE, NE 69101-5423
(308) 532-1753
(308) 532-3480
Mailing address
402 S DEWEY ST, NORTH PLATTE, NE 69101-5423
(308) 532-1753
(308) 532-3480
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
953
NE
Other
Enumeration date
11/26/2007
Last updated
02/16/2012
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