| Northeast Eyecare Pc | |
|
101 W Decatur St, West Point, NE 68788-1407 | |
| (402) 372-3266 | |
| (402) 372-5736 |
| Full Name | Northeast Eyecare Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 W Decatur St, West Point, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649697491 | NPI | - | NPPES |
| 100264775-00 | Medicaid | NE | |
| 100264106-00 | Medicaid | NE | |
| 25136 | Other | NE | COVENTRY |
| 8422 | Other | NE | MIDLANDS CHOICE |
| 7748 | Other | NE | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1396 (Nebraska) | Primary |
| Provider Name | Brandon Ridder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851731459 PECOS PAC ID: 9032352257 Enrollment ID: I20130906000558 |
| Provider Name | Emily J Wietfeld |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609447986 PECOS PAC ID: 4587068978 Enrollment ID: I20210806001906 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Eyecare Pc 101 W Decatur St, West Point, NE 68788-1407 Ph: (402) 372-3266 | Northeast Eyecare Pc 101 W Decatur St, West Point, NE 68788-1407 Ph: (402) 372-3266 |
Dr. Dean L. Lauritzen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-372-3266 Fax: 402-372-5736 | |
Family Vision Center, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-372-3266 Fax: 402-372-5736 | |
Emily Joann Wietfeld, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-317-0995 Fax: 402-372-5736 | |
Brandon Ridder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-372-3266 Fax: 402-372-5736 |