Tracie Goodenberger
Optometrist in Lincoln, NE. Individual provider (NPI-1).
NPI number1124865563
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1124865563
- Entity type
- Individual (NPI-1)
- Name
- Tracie Goodenberger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1648 | NE | Yes |
Practice location
3543 S 85th St Ste 200Lincoln, NE 68520-1501
Phone 402-986-7856
Mailing address
1946 S 80th StLincoln, NE 68506-6508
Phone 785-819-1770
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All 118 Optometrist providers in Lincoln · All 17,648 providers in Lincoln
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