ALLIANCE VISION SOURCE, P.C. (NPI# 1205864980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205864980 |
| Entity Type | Organization |
| Organization Name | ALLIANCE VISION SOURCE, P.C. |
| Practice Address |
515 Niobrara Ave Alliance NE 69301-3421 |
| Mailing Address |
Po Box 490 Alliance NE 69301-0490 |
| Practice Telephone | 3087623124 |
| Practice Fax Number | 3087627326 |
| Mailing Telephone | 3087623124 |
| Mailing Fax Number | 3087627326 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MRS. TAMARA V FRANKLLIN (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 3087623124 |
| Authorized Official Credential | CPOT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | EYEMED VISION | 205248 | 01 |
| NE | 10025031600 | 05 | |
| NE | RAILROAD MEDICARE | DA9238 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477608610 | Alliance Vision Source, P.C. | Optometrist | 921 Main Street, Bridgeport, NE 69336 | 2007-01-25 |
| Street Address |
515 NIOBRARA AVE |
| City | ALLIANCE |
| State | NE |
| Zip Code | 69301-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467681122 | Kristopher Thomas Hubbard | Optometrist | 515 Niobrara Ave, Alliance, NE 69301-3421 | 2009-07-02 |
| 1942226865 | Robert Craig Dietrich | Optometrist | 515 Niobrara Ave, Alliance, NE 69301-3421 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560446 | Vsl Alliance Assisted Living LLC | Assisted Living Facility | 150 W 24th St, Alliance, NE 69301 | 2018-06-06 |
| 1992848261 | Stephen E Van Noy | Physician Assistant | 2101 Box Butte Ave., Alliance, NE 69301 | 2007-02-15 |
| 1235291832 | Alliance Rural Fire Protection District | Ambulance | 315 Cheyenne Ave, Alliance, NE 69301 | 2006-12-14 |
| 1093888901 | Virgil Vernon Hatch | Pharmacist | 312 Flack Ave., Alliance, NE 69301 | 2006-11-16 |
| 1306930904 | Mel P Lancey | Chiropractor | 1118 Flack, Alliance, NE 69301 | 2006-10-03 |
| 1710071915 | Steven L. Honomichl | Chiropractor | 408 Vine St, Poplar Bluff, MO 69301 | 2006-10-03 |
| 1346256294 | Janell Grant | Nurse Practitioner | 203 E 3rd, Alliance, NE 69301 | 2006-07-31 |
| 1194751776 | Alliance Family Medicine LLC | Family Medicine | 2091 Box Butte Ave, Suite 500, Alliance, NE 69301 | 2006-06-24 |
| 1154886059 | Lucas Dewayne Thompson | Physical Therapist | 2101 Box Butte Ave, Alliance, NE 69301 | 2019-02-05 |
| 1316296247 | Melanie Diane Sterkel | Physical Therapy Assistant | 1633 Sweetwater Ave, Alliance, NE 69301 | 2012-09-06 |
| Find all providers in zip 69301 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689902892 | Liana Allabadi | Optometrist | 985 S Sawburg Ave, Alliance, OH 44601-3515 | 2009-11-27 |
| 1164563938 | C & S Optometric Services Pllc | Optometrist | 13820 Hwy 55 E., Alliance, NC 28509 | 2007-02-12 |
| 1578509873 | Creston Marshall Myers | Optometrist | 1317 W 3rd St, Alliance, NE 69301-3125 | 2006-06-22 |
| 1801865936 | Samuel L Reiss | Optometrist | 1650 S Union Ave, Alliance, OH 44601-4349 | 2006-03-14 |
| 1558341768 | Dirk Jason Warner | Optometrist | 760 S Sawburg Ave, Alliance, OH 44601-2767 | 2006-01-23 |
| 1306839527 | Joseph M Pederzolli | Optometrist | 32 E Broadway St, Alliance, OH 44601-2647 | 2005-08-23 |
| 1821080912 | Heidi A Loy | Optometrist | 1370 S Sawburg Ave, Suite B, Alliance, OH 44601-5761 | 2005-08-16 |
| 1750905394 | Jasmine Barker | Optometrist | 985 S Sawburg Ave, Alliance, OH 44601-3515 | 2020-05-29 |
| 1598318610 | Nicholas Flebotte | Optometrist | 985 S Sawburg Ave, Alliance, OH 44601-3515 | 2019-07-17 |
| 1114426707 | Joseph M Pederzolli LLC | Optometrist | 32 E Broadway St, Alliance, OH 44601-2647 | 2018-02-08 |
| Find all providers in ALLIANCE | ||||
Please comment or provide details below to improve the information on ALLIANCE VISION SOURCE, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.