Organization Name: | PHYSICIANS EYEWEAR, L.L.C. |
NPI Number: | 1790788677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT S. PROFFITT (OWNER) |
Mailing Address: | 711 N Custer Ave Ste 2 Grand Island |
State: | NE US |
Postal Code: | 688034311 |
Phone Number: | 3083827223 |
Fax Number: | 3083826299 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |