NPI 1417952995 · live from the CMS NPI Registry
Eye Surgical Associates, LLC
Ophthalmology in Lincoln, NE. National Provider Identifier 1417952995, active.
NPI record
| NPI | 1417952995 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1710 S 70th St, Lincoln, NE 68506 |
| Practice phone | 402-484-9000 |
| Mailing address | Po Box 6068, Lincoln, NE 68506 |
| Enumerated | June 20, 2005 |
| Last updated | May 24, 2018 |
| Authorized official | Gregory Sutton, Group President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 22765 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.