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Bright Eyes Optometry, LLC

Clinic/Center, Multi-Specialty in Omaha, NE. Organization (NPI-2).

NPI number1366085656
StatusActive
Last updated in NPPESOct 8, 2020

Details

NPI
1366085656
Entity type
Organization (NPI-2)
Legal business name
Bright Eyes Optometry, LLC
Organization subpart
No
Enumeration date
Oct 19, 2019
Certification date
Oct 8, 2020
Last updated
Oct 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
152W00000X Optometrist––
152WP0200X Optometrist, Pediatrics––
156FX1800X Technician/Technologist, Optician––

Practice location

6005 Maple St # A
Omaha, NE 68104-4195

Phone 402-310-4102

Mailing address

6005 Maple St Ste A
Omaha, NE 68104-4195

Phone 402-382-6236 · Fax 402-382-9779

Authorized official

Anna Thompson
Owner
4023826236

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