Provider Demographics
NPI:1982661245
Name:MID-PLAINS EYECARE CENTER
Entity Type:Organization
Organization Name:MID-PLAINS EYECARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SALANSKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:402-873-6696
Mailing Address - Street 1:PO BOX 691
Mailing Address - Street 2:121 N 8TH STREET
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-0691
Mailing Address - Country:US
Mailing Address - Phone:402-873-6696
Mailing Address - Fax:402-873-5149
Practice Address - Street 1:121 N 8TH STREET
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-0691
Practice Address - Country:US
Practice Address - Phone:402-873-6696
Practice Address - Fax:402-873-5149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE6737OtherBLUE CROSS BLUE SHIELD
NE0448340002OtherCIGNA MEDICARE DMERC
NE2200002OtherUNITED HEALTHCARE
NE=========00Medicaid
NE6737OtherBLUE CROSS BLUE SHIELD
NE2200002OtherUNITED HEALTHCARE