Provider Demographics
NPI:1205216207
Name:EXACT EYE CARE, INC
Entity Type:Organization
Organization Name:EXACT EYE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:KOZAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:308-237-7693
Mailing Address - Street 1:4919 2ND AVE
Mailing Address - Street 2:SUITE 53
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2482
Mailing Address - Country:US
Mailing Address - Phone:308-237-7693
Mailing Address - Fax:308-237-2948
Practice Address - Street 1:4919 2ND AVE
Practice Address - Street 2:SUITE 53
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2482
Practice Address - Country:US
Practice Address - Phone:308-237-7693
Practice Address - Fax:308-237-2948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE971152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty