| NPI | 1972796845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. KEVIN BELVILLE Opthalmologist/President 402-462-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 14789) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NE 138365) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-10-31 |