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Contact Information

GRAND ISLAND OPTICAL PC
420 N DIERS AVE
GRAND ISLAND, NE68803-4979
 Phone: 308-384-0220
 Fax: 308-382-1650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GRAND ISLAND OPTICAL PC

NPI # 1891771051
LBN Legal business name GRAND ISLAND OPTICAL PC
Authorized official DAWN LANGFORD - (SECRETARY / OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
Other 07783 BLUE CROSS BLUE SHIELD
Other 0290380001 MEDICARE DMERC
Other CS1323 RAILROAD MEDICARE
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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