| |
5600 S 59th St, Suite 105, Lincoln, NE 68516-2386 | |
(402) 328-8811 | |
(402) 328-8813 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 5600 S 59th St, Lincoln, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457487696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
5600 S 59th St, Suite 105, Lincoln, NE 68516-2386 Ph: (402) 328-8811 | 5600 S 59th St, Suite 105, Lincoln, NE 68516-2386 Ph: (402) 328-8811 |