Sidney Vision Clinic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SIDNEY VISION CLINIC LLC

Practice address

900 Pine St
Sidney, NE 69162-2241

Phone

(308) 254-4041

Fax

(308) 254-3718

NPI assigned

Apr 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Alan Cook, O.D.

Title

Partner

Phone

(308) 254-4041

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1376766717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691620061",
            "telephone_number": "308-254-4041",
            "fax_number": "308-254-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622241",
            "telephone_number": "308-254-4041",
            "fax_number": "308-254-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "308-254-4041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NMBR",
            "identifier": "37094",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025341000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE PROV NMBR",
            "identifier": "245327",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennie Shimp
• Sara M Sholar, D.O.
• Lori Shutts
• Sidney Care and Rehabilitation Center, LLC
• Sidney Vision Clinic LLC
• Brenna D Simmons, M.S. ED., CF-SLP
• Tami Renee Slife
• Amy Smith
• Annalyn Marie Smith
• April Smith, M.D.

• Durable Medical Equipment & Medical Supplies in Sidney, NE
• Providers in Sidney, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.