NPI 1104150333 · live from the CMS NPI Registry
Midwest Eye Care PC
Technician/Technologist, Optician in La Vista, NE. National Provider Identifier 1104150333, active.
NPI record
| NPI | 1104150333 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Technician/Technologist, Optician 156FX1800X |
| Practice location | 7202 Giles Rd, Suite 3, La Vista, NE 68128 |
| Practice phone | 402-552-2020 |
| Mailing address | 4353 Dodge St, Omaha, NE 68131 |
| Enumerated | September 21, 2009 |
| Last updated | January 30, 2014 |
| Authorized official | Jay Slagle, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | — |
| Technician/Technologist, Optician primary | 156FX1800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.