| Organization Name: | HASTINGS LASER & EYE SURGERY CENTER LLC |
| NPI Number: | 1073559035 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL JAMES DIETZE (MEMBER) |
| Mailing Address: | 715 N Kansas Ave Ste 303 Hastings |
| State: | NE US |
| Postal Code: | 68901 |
| Phone Number: | 4024625888 |
| Fax Number: | 4024626784 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |