Provider Demographics
NPI:1891024717
Name:ELEGANT OPTICS CONTACTS & FAMILY EYE LLC
Entity Type:Organization
Organization Name:ELEGANT OPTICS CONTACTS & FAMILY EYE LLC
Other - Org Name:ELEGANT OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-466-4111
Mailing Address - Street 1:6900 O STREET
Mailing Address - Street 2:SUITE 127
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2460
Mailing Address - Country:US
Mailing Address - Phone:402-466-4111
Mailing Address - Fax:402-466-4202
Practice Address - Street 1:6900 O STREET
Practice Address - Street 2:SUITE 127
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2460
Practice Address - Country:US
Practice Address - Phone:402-466-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025846400Medicaid
NE10025846400Medicaid
NE6372880001Medicare NSC