Provider Demographics
NPI:1104252014
Name:TONNIGES EYECARE, P.C.
Entity type:Organization
Organization Name:TONNIGES EYECARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:TONNIGES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:308-627-6171
Mailing Address - Street 1:5114 E AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8513
Mailing Address - Country:US
Mailing Address - Phone:308-627-6171
Mailing Address - Fax:
Practice Address - Street 1:1401 S DEWEY ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7622
Practice Address - Country:US
Practice Address - Phone:308-532-0220
Practice Address - Fax:308-532-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1326152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty