Provider Demographics
NPI:1780975144
Name:MAGNUSON HOPKINS EYECARE PC
Entity type:Organization
Organization Name:MAGNUSON HOPKINS EYECARE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THIRD PARTY COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-375-5160
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-0309
Mailing Address - Country:US
Mailing Address - Phone:402-375-5160
Mailing Address - Fax:402-375-3302
Practice Address - Street 1:1112 W 7TH ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787
Practice Address - Country:US
Practice Address - Phone:402-375-5160
Practice Address - Fax:402-375-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEDS4736OtherRAILROAD MEDICARE
NE10026203700Medicaid
NEDS4736OtherRAILROAD MEDICARE
NE6683330001Medicare NSC