| NPI | 1457843328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JAMES BAARTMAN Owner 402-506-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology (Licence: NE 30828) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-05-21 |