| |
739 W 10th St Ste A, Wahoo, NE 68066-1133 | |
(402) 443-3168 | |
(402) 443-4176 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 739 W 10th St Ste A, Wahoo, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316020613 | NPI | - | NPPES |
CB4714 | Other | NE | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1020 (Nebraska) | Primary |
Mailing Address | Practice Location Address |
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739 W 10th St, Suite A, Wahoo, NE 68066-1102 Ph: (402) 443-3168 | 739 W 10th St Ste A, Wahoo, NE 68066-1133 Ph: (402) 443-3168 |