Provider Demographics
NPI:1386225068
Name:KEARNEY EYE INSTITUTE, P.C.
Entity Type:Organization
Organization Name:KEARNEY EYE INSTITUTE, P.C.
Other - Org Name:GRAND ISLAND EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-865-2760
Mailing Address - Street 1:411 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2805
Mailing Address - Country:US
Mailing Address - Phone:308-865-2760
Mailing Address - Fax:308-865-2769
Practice Address - Street 1:711 N CUSTER AVE STE 2
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4311
Practice Address - Country:US
Practice Address - Phone:308-382-7223
Practice Address - Fax:308-382-6299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEARNEY EYE INSTITUTE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-15
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty