Mr Jared Nathan Holthaus, OD | |
625 N. 98th St, Omaha, NE 68114 | |
(402) 397-0497 | |
Not Available |
Full Name | Mr Jared Nathan Holthaus |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 5 Years |
Location | 625 N. 98th St, Omaha, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689237356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1501 (Nebraska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wichita Optometry, P.a. | 2567541451 | 9 |
Provider Name | Wichita Optometry, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083676936 PECOS PAC ID: 2567541451 Enrollment ID: O20080502000609 |
Mailing Address | Practice Location Address |
---|---|
Mr Jared Nathan Holthaus, OD 3505 N 175th Plz Apt 106, Omaha, NE 68116-2795 Ph: (316) 218-2665 | Mr Jared Nathan Holthaus, OD 625 N. 98th St, Omaha, NE 68114 Ph: (402) 397-0497 |
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