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Eyeconic Vision, LLC

Optometrist in Gretna, NE. Organization (NPI-2).

NPI number1235791104
StatusActive
Last updated in NPPESJul 1, 2019

Details

NPI
1235791104
Entity type
Organization (NPI-2)
Legal business name
Eyeconic Vision, LLC
Organization subpart
No
Enumeration date
Jul 1, 2019
Last updated
Jul 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

11844 Standing Stone Dr Ste 100
Gretna, NE 68028-7979

Phone 402-687-3435

Mailing address

18814 Briar St
Omaha, NE 68136-1626

Phone 308-940-0876

Authorized official

Cathleen Roark
Owner
4026873435

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