NPI 1144530213

Gothenburg-Cozad Vision Clinic,p.C.

Organisation Eyewear Supplier Gothenburg, NE

Practice location

Address: 916 Avenue F, Gothenburg, NE 69138-2060
Phone: (308) 537-2601
Fax: (308) 537-7211
Mailing address: PO Box 449, Gothenburg, NE 69138-0449

Authorised official

Name: Larry D. Garrett
Title: Owner/President
Phone: (308) 537-2601

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 743 (NE)

Other Eyewear Supplier providers in Nebraska →

Registry record

NPI: 1144530213
Entity type: Organization
NPI issued: 7 Oct 2010
Record last updated: 7 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.