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Jeremy W McMeen, O.D.

Optometrist in Superior, NE. Individual provider (NPI-1).

NPI number1790774347
StatusActive
Last updated in NPPESJun 12, 2014

Details

NPI
1790774347
Entity type
Individual (NPI-1)
Name
Jeremy W McMeen
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 17, 2005
Last updated
Jun 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1093NEYes
152W00000X Optometrist1489KS

Practice location

358 N Central
Superior, NE 68978-1715

Phone 402-879-3233 · Fax 402-879-3378

Mailing address

358 N Central
Superior, NE 68978-1715

Phone 402-879-3233 · Fax 402-879-3378

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