North Platte Vision Center, LLC
NPI #1992986467 in North Platte, Nebraska
Provider Information
- NPI Number
- 1992986467
- Entity Type
- Organization
- Organization Name
- North Platte Vision Center, LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Nov 26, 2007
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 402 S DEWEY ST
- City
- North Platte
- State
- Nebraska
- ZIP Code
- 69101-5423
- Phone
- (308) 532-1753
Authorized Official
- Name
- MARK ALLAN BLACKLEDGE, O.D.
- Title
- OPTOMETRIST
- Phone
- (308) 532-1753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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