| NPI | 1952156879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WEMHOFF Billing Manager 402-371-8230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |