Provider Demographics
NPI:1821758939
Name:JOPTO PC
Entity Type:Organization
Organization Name:JOPTO PC
Other - Org Name:THE EYE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:308-432-2200
Mailing Address - Street 1:139 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2313
Mailing Address - Country:US
Mailing Address - Phone:308-432-2200
Mailing Address - Fax:
Practice Address - Street 1:139 W 3RD ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2313
Practice Address - Country:US
Practice Address - Phone:308-432-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOPTO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-30
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty