| Proeye Group Shadow Lake, P.c. | |
|
7474 Towne Center Pkwy, Suite 107, Papillion, NE 68046-4805 | |
| (402) 592-3266 | |
| (402) 592-3249 |
| Full Name | Proeye Group Shadow Lake, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7474 Towne Center Pkwy, Papillion, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972978435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 944 (Nebraska) | Primary |
| Provider Name | William J Geisert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053454124 PECOS PAC ID: 9537257894 Enrollment ID: I20071120000339 |
| Provider Name | Matthew Robert Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487969002 PECOS PAC ID: 7618166232 Enrollment ID: I20140228001159 |
| Provider Name | Kristin Ann Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720420961 PECOS PAC ID: 3779716683 Enrollment ID: I20140430001006 |
| Provider Name | Lianna M Ng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093164113 PECOS PAC ID: 8022396274 Enrollment ID: I20161024001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Proeye Group Shadow Lake, P.c. 443 Road 4600, Hardy, NE 68943-8835 Ph: () - | Proeye Group Shadow Lake, P.c. 7474 Towne Center Pkwy, Suite 107, Papillion, NE 68046-4805 Ph: (402) 592-3266 |
Jacob Ethen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 718 N Washington St, Papillion, NE 68046 Phone: 402-339-5717 | |
Dr. Lianna Ng, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7474 Towne Center Pkwy Ste 107, Papillion, NE 68046 Phone: 402-592-3266 | |
Dr. Sarah Elizabeth Dierks, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7474 Towne Center Pkwy, Suite 107, Papillion, NE 68046 Phone: 402-592-3239 | |
Walnut Creek Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2063 Creek Side Dr Ste 123, Papillion, NE 68046 Phone: 402-992-1300 | |
Dr. Anna Thompson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9851 S 71st Plz, Papillion, NE 68133 Phone: 402-686-2396 Fax: 402-339-9804 | |
Colten Dean Vahle, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8650 S 71st Plz Ste D, Papillion, NE 68133 Phone: 402-408-1016 | |
Roger A Klassen Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8525 S 71st Plz, Papillion, NE 68133 Phone: 402-597-8990 |