| NPI | 1154094316 |
|---|---|
| Former Legal Business Name | ADVANCED FAMILY EYECARE ELKHORN |
| Entity Type | Organization |
| Authorized Contact | GINNY L AHRENS Owner/Optometrist 402-380-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |