| Alliance Vision Source, P.c. | |
| 
					515 Niobrara Ave, Alliance, NE 69301-3421  | |
| (308) 762-3124 | |
| (308) 762-7326 | 
| Full Name | Alliance Vision Source, P.c. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 515 Niobrara Ave, Alliance, Nebraska | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205864980 | NPI | - | NPPES | 
| 205248 | Other | NE | EYEMED VISION | 
| 10025031600 | Medicaid | NE | |
| DA9238 | Other | NE | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alliance Vision Source, P.c. Po Box 490, Alliance, NE 69301-0490 Ph: (308) 762-3124  | Alliance Vision Source, P.c. 515 Niobrara Ave, Alliance, NE 69301-3421 Ph: (308) 762-3124  | 
Bruce A Anderson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1317 W 3rd St, Alliance, NE 69301 Phone: 308-762-4056 Fax: 308-762-4063  | |
Creston M. Myers, Od, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1317 W 3rd St, Alliance, NE 69301 Phone: 308-762-4056 Fax: 308-762-4063  | |
Kristopher Thomas Hubbard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 515 Niobrara Ave, Alliance, NE 69301 Phone: 308-762-3124 Fax: 308-762-7326  | |
Dr. Creston Marshall Myers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1317 W 3rd St, Alliance, NE 69301 Phone: 308-762-4056 Fax: 308-762-4063  | |
Dr. Robert Craig Dietrich, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 515 Niobrara Ave, Alliance, NE 69301 Phone: 308-762-3124 Fax: 308-762-7326  |