| |
17660 Wright St., Suite 18, Omaha, NE 68130 | |
(402) 991-0160 | |
(402) 991-0453 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 17660 Wright St., Omaha, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629098538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | NE847 (Nebraska) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
17660 Wright St., Suite 18, Omaha, NE 68130 Ph: (402) 991-0160 | 17660 Wright St., Suite 18, Omaha, NE 68130 Ph: (402) 991-0160 |