| Family Vision Center, Pc | |
|
1024 Avenue E Wisner NE 68791-2248 | |
| (402) 529-3558 | |
| Not Available |
| Full Name | Family Vision Center, Pc |
|---|---|
| Speciality | Optometrist |
| Location | 1024 Avenue E, Wisner, Nebraska |
| Authorized Official Name and Position | Dean L Lauritzen (OWNER) |
| Authorized Official Contact | 4025293558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Vision Center, Pc 1024 Avenue E P.o. Box 367 Wisner NE 68791-2248 Ph: (402) 529-3558 | Family Vision Center, Pc 1024 Avenue E Wisner NE 68791-2248 Ph: (402) 529-3558 |
| NPI Number | 1770660839 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770660839 | NPI | - | NPPES |
| 25136 | Other | NE | WISNER COVENTRY PAYOR ID |
| 8422 | Other | NE | WISNER MIDLANDS CHOICE |
| 7748 | Other | NE | WISNER BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 767 (Nebraska) | Secondary |
| 152W00000X | Optometrist | 767 (Nebraska) | Primary |
Franciscan Care Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 21st Cir, Ste A, Wisner, NE 68791 Phone: 402-529-6516 Fax: 402-529-6530 | |
Mercy Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 9th St, Wisner, NE 68791 Phone: 402-529-3218 Fax: 402-529-3213 |