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Contact Information

INTERNATIONAL EYECARE CENTER, INC.
8102 S 84TH ST
LA VISTA, NE68128-3305
 Phone: 402-339-5550
 Fax: 402-339-5554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for INTERNATIONAL EYECARE CENTER INC · (Female)

NPI Number 1740461979
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2007
Last updated 01/22/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • NE License # 470486594
  • NE Medicaid 47048659409
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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