| |
755 Fallbrook Blvd, Suite 205, Lincoln, NE 68521-4637 | |
(402) 898-3818 | |
(402) 493-8341 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 755 Fallbrook Blvd, Lincoln, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740386606 | NPI | - | NPPES |
CH8149 | Other | NE | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
11606 Nicholas Street,, Suite 200, Omaha, NE 68154-4486 Ph: (402) 898-3818 | 755 Fallbrook Blvd, Suite 205, Lincoln, NE 68521-4637 Ph: (402) 898-3818 |