Provider Demographics
NPI:1467566679
Name:AUTHIER/MILLER EYECARE CENTER, L.L.C.
Entity Type:Organization
Organization Name:AUTHIER/MILLER EYECARE CENTER, L.L.C.
Other - Org Name:AUTHIER MILLER PAPE EYECARE CONSULTANTS, L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINDEDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-371-8230
Mailing Address - Street 1:3610 W NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-7702
Mailing Address - Country:US
Mailing Address - Phone:402-371-8230
Mailing Address - Fax:402-371-3911
Practice Address - Street 1:3610 W NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-7702
Practice Address - Country:US
Practice Address - Phone:402-371-8230
Practice Address - Fax:402-371-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========13Medicaid
NE=========13Medicaid
NE0572260001Medicare NSC