Provider Demographics
NPI:1700862018
Name:EYECARE ASSOCIATES
Entity Type:Organization
Organization Name:EYECARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:KANT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-362-4592
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-0176
Mailing Address - Country:US
Mailing Address - Phone:402-362-4592
Mailing Address - Fax:402-362-2794
Practice Address - Street 1:222 E 6TH ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-3015
Practice Address - Country:US
Practice Address - Phone:402-362-4592
Practice Address - Fax:402-362-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE0349260001Medicare NSC