Provider Demographics
NPI:1841897477
Name:SANDHILLS EYECARE
Entity type:Organization
Organization Name:SANDHILLS EYECARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:T
Authorized Official - Last Name:HALLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:308-534-7100
Mailing Address - Street 1:1225 S POPLAR ST STE 400
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-7785
Mailing Address - Country:US
Mailing Address - Phone:308-534-7100
Mailing Address - Fax:308-534-5002
Practice Address - Street 1:1225 S POPLAR ST STE 400
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7785
Practice Address - Country:US
Practice Address - Phone:308-534-7100
Practice Address - Fax:308-534-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty