GRAND ISLAND OPTICAL PC NPI 1942520614

NPI Information

  • NPI: 1942520614
  • Provider Name: GRAND ISLAND OPTICAL PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: AURORA EYECARE PROFESSIONALS
  • Address: 1208 L ST
    AURORA, NE
    ZIP 68818
  • Phone: (402) 694-6114

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NPI Details

GRAND ISLAND OPTICAL PC is an optometrist in Aurora, NE. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GRAND ISLAND OPTICAL PC NPI is 1942520614. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aurora Eyecare Professionals.

The provider's business location address is:

1208 L ST
AURORA, NE
ZIP 68818-016
Phone: (402) 694-6114

The provider's authorized official is Rene Dawn Ketteler .
The authorized official title is Business Manager and has the following contact phone number (308) 384-0220.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110025853800MEDICAIDNEBRASKA
20290380004MEDICARE NSCNEBRASKA
3NA1624MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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