Tracie Goodenberger, | |
3543 S 85th St Ste 200, Lincoln, NE 68520-1501 | |
(402) 986-7856 | |
Not Available |
Full Name | Tracie Goodenberger |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 3543 S 85th St Ste 200, Lincoln, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124865563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1648 (Nebraska) | Primary |
Provider Name | Daniel Novak Od Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235729351 PECOS PAC ID: 8426466988 Enrollment ID: O20210421002382 |
Mailing Address | Practice Location Address |
---|---|
Tracie Goodenberger, 1946 S 80th St, Lincoln, NE 68506-6508 Ph: (785) 819-1770 | Tracie Goodenberger, 3543 S 85th St Ste 200, Lincoln, NE 68520-1501 Ph: (402) 986-7856 |
Dr. Jonathan Glyndon Knutson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5630 S 84th St, Suite 120, Lincoln, NE 68516 Phone: 402-488-2211 | |
Todd D Pfeil, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7930 O St, Lincoln, NE 68510 Phone: 402-420-2020 Fax: 402-323-2080 | |
Dr. Ashley Nicole Wilcox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3923 S 48th St, Lincoln, NE 68506 Phone: 402-488-3106 | |
Dr. Steven Edward Wise, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1501 Pine Lake Rd, Suite #1, Lincoln, NE 68512 Phone: 402-421-7773 | |
Nicole Ann Morrissey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7930 O St, Lincoln, NE 68510 Phone: 402-420-2020 Fax: 402-323-2002 | |