| |
201 Capitol Beach Blvd, Suite 11, Lincoln, NE 68528-1600 | |
(402) 475-3937 | |
(402) 475-4715 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 201 Capitol Beach Blvd, Lincoln, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548342587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1147 (Nebraska) | Secondary |
156FX1800X | Technician/technologist - Optician | NA (Nebraska) | Primary |
Mailing Address | Practice Location Address |
---|---|
201 Capitol Beach Blvd, Suite 11, Lincoln, NE 68528-1600 Ph: (402) 475-3937 | 201 Capitol Beach Blvd, Suite 11, Lincoln, NE 68528-1600 Ph: (402) 475-3937 |