Provider Demographics
NPI:1508036062
Name:TORRISON EYE CARE
Entity Type:Organization
Organization Name:TORRISON EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OCULARIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:402-392-1646
Mailing Address - Street 1:6675 SORENSEN PKWY
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2139
Mailing Address - Country:US
Mailing Address - Phone:402-392-1646
Mailing Address - Fax:402-573-0568
Practice Address - Street 1:6675 SORENSEN PKWY
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2139
Practice Address - Country:US
Practice Address - Phone:402-392-1646
Practice Address - Fax:402-573-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0901173Medicaid
09971OtherBC/BS
87608OtherCOVENTRY NCNE
F235055OtherMIDLANDS CHOICE
NE=========00Medicaid
NE=========00Medicaid