| Prairie Eyecare Center Llc | |
|
408 S 8th Ave, Broken Bow, NE 68822-2009 | |
| (308) 872-2291 | |
| (308) 872-3122 |
| Full Name | Prairie Eyecare Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 408 S 8th Ave, Broken Bow, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295986370 | NPI | - | NPPES |
| 098011 | Other | MEDICARE PTAN | |
| 410011100 | Other | RR MEDICARE | |
| 0723900001 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Eyecare Center Llc 408 S 8th Ave, Broken Bow, NE 68822-2009 Ph: (308) 872-2291 | Prairie Eyecare Center Llc 408 S 8th Ave, Broken Bow, NE 68822-2009 Ph: (308) 872-2291 |
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 | |
Prairie Eyecare Center Pc Optometrist Medicare: Medicare Enrolled 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 |