Creston M. Myers, Od, Pc

NPI 1164794863 - Optometrist - 152W00000X

NPI Details
NPI 1164794863
Enumeration Date 01/27/2012
Last Updated 01/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CRESTON M CRESTON
Position PRESIDENT
Phone (308) 762-4056
Fax (308) 762-4063
Practice Location
1317 W 3RD ST
ALLIANCE NE, 69301-3125, US
Phone (308) 762-4056
Fax (308) 762-4063
Business Location
PO BOX 830
ALLIANCE NE, 69301-0830, US
Phone (308) 762-4056
Fax (308) 762-4063
Toxanomy
Taxonomy Code 152W00000X
License State Nebraska
License Number 1202
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According to our database, Creston M. Myers, Od, Pc NPI is 1164794863, taxonomy code is 152W00000X and license number is 1202, license state is located at Nebraska. Creston M. Myers, Od, Pc physically located at 1317 W 3rd St, Alliance NE, 69301-3125. NPI Number 1033115704 has the healthcare provider type.

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1164794863 NPI number is provided on an as is basis without warranty of any kind. 1164794863 is maintained by the National Plan & Provider Enumeration System. The contents of Creston M. Myers, Od, Pc are for informational purposes only.