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NPI 1700955929 · Eyewear Supplier · Hastings, NE
Provider details
- NPI number
- 1700955929
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Paul Dietze, Owner(402) 462-9009
Specialties & taxonomies
Suppliers
- Point of Service305S00000X
Managed Care Organizations
Practice location
715 N Kansas Ave
Suite 300
Hastings, NE 68901
Phone: (402) 462-9009
Fax: (402) 462-8090
Approximate (ZIP-level) locationGet directions
Mailing address
715 N Kansas Ave
Hastings, NE 68901
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2022-07-21
- Certified
- 2020-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.