Provider Demographics
NPI:1710004882
Name:LIND EYE CARE PC
Entity Type:Organization
Organization Name:LIND EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LIND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:308-236-8500
Mailing Address - Street 1:4107 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-1312
Mailing Address - Country:US
Mailing Address - Phone:308-236-8500
Mailing Address - Fax:308-236-8508
Practice Address - Street 1:4107 7TH AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-1312
Practice Address - Country:US
Practice Address - Phone:308-236-8500
Practice Address - Fax:308-236-8508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENE213261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025136900Medicaid
NE10025136900Medicaid
NE278222Medicare ID - Type Unspecified