PROVISION EYE CARE LLC

OMAHA, NE
NPI1902256647
Entity TypeOrganization
Authorized ContactDANIEL MARK JACKSON
Owner
402-991-3131
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NE  960)
Enumeration Date2016-06-14
Last Update Date2016-07-06
Business Address
PROVISION EYE CARE LLC
713 N 114TH ST
OMAHA, NE 68154-1515
Phone number: 402-991-3131
Mailing Address
PROVISION EYE CARE LLC
713 N 114TH ST
OMAHA, NE 68154-1515
Phone number: 402-991-3131
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