Provider Demographics
NPI:1851572556
Name:FILIPS EYE CLINIC PC
Entity Type:Organization
Organization Name:FILIPS EYE CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:F
Authorized Official - Last Name:FILIPS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-254-2020
Mailing Address - Street 1:202 S ROBINSON AVE
Mailing Address - Street 2:POB 548
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-5501
Mailing Address - Country:US
Mailing Address - Phone:402-254-2020
Mailing Address - Fax:402-254-2020
Practice Address - Street 1:202 S ROBINSON AVE
Practice Address - Street 2:POB 548
Practice Address - City:HARTINGTON
Practice Address - State:NE
Practice Address - Zip Code:68739-5501
Practice Address - Country:US
Practice Address - Phone:402-254-2020
Practice Address - Fax:402-254-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE914152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4557290001Medicare NSC
NE099792Medicare PIN