Provider Demographics
NPI:1669433843
Name:ROCKEY, VERNON COE (OD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:COE
Last Name:ROCKEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BRUCE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2204
Mailing Address - Country:US
Mailing Address - Phone:402-318-6167
Mailing Address - Fax:
Practice Address - Street 1:215 BRUCE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2204
Practice Address - Country:US
Practice Address - Phone:402-318-6167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE714152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
411004688OtherRR MEDICARE
SD9200910Medicaid
SD9200912Medicaid
SD9200910Medicaid
SD9200910Medicaid
NE0324130001Medicare NSC
SD9200912Medicaid
NE0324130003Medicare NSC
T40250Medicare UPIN