| NPI | 1164709218 |
|---|---|
| Doing Business As | FREMONT VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | AMY JENNIFER DEVRIES Owner/Optometrist 402-721-8032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1358) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-12-11 |