| Prairie Eyecare Center Pc | |
|
408 S 8th Ave, Broken Bow, NE 68822-2009 | |
| (308) 872-2291 | |
| (308) 872-3122 |
| Full Name | Prairie Eyecare Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 408 S 8th Ave, Broken Bow, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932190527 | NPI | - | NPPES |
| 47077269013 | Medicaid | NE | |
| C04190 | Other | NE | PALMETTO GBA RAILROAD MED |
| DN0887 | Other | NE | RR MEDICARE PTAN |
| 10025628100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jeffrey W Sanger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538150115 PECOS PAC ID: 5991884132 Enrollment ID: I20080430000019 |
| Provider Name | Melinda K Kennel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013908656 PECOS PAC ID: 4486657905 Enrollment ID: I20080731000795 |
| Provider Name | Jincy Anna Ross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932877685 PECOS PAC ID: 4587062484 Enrollment ID: I20211007000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Eyecare Center Pc Po Box 506, 408 S 8th Ave, Broken Bow, NE 68822-0506 Ph: (308) 872-2291 | Prairie Eyecare Center Pc 408 S 8th Ave, Broken Bow, NE 68822-2009 Ph: (308) 872-2291 |
Prairie Eyecare Center Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 408 S 8th Ave, Broken Bow, NE 68822 Phone: 308-872-2291 Fax: 308-872-3122 | |
Dr. Jeffrey W Sanger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 408 S 8th Ave, Broken Bow, NE 68822 Phone: 308-872-2291 Fax: 308-872-3122 | |
Jincy Anna Ross, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 408 S 8th Ave, Broken Bow, NE 68822 Phone: 308-872-2291 Fax: 308-872-3122 |