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Contact Information

INTERNATIONAL EYECARE CENTER INC
10114 MAPLE ST
OMAHA, NE68134-5555
 Phone: 402-571-8112
 Fax: 402-571-8113
 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

NPI Number 1649451980
LBN Legal business name INTERNATIONAL EYECARE CENTER INC
Authorized official CATHY SHORT - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2007
Last updated 01/22/2021 - About 5 years ago
Identifiers
NE License # 470486594
NE Medicaid 47048659405
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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