NPI 1457843328 · live from the CMS NPI Registry
Vance Thompson Vision Ne, Prof LLC
Ophthalmology in Omaha, NE. National Provider Identifier 1457843328, active.
NPI record
| NPI | 1457843328 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4909 S 118th St, Omaha, NE 68137 |
| Practice phone | 402-506-9970 |
| Mailing address | 3101 W 57th St, Sioux Falls, SD 57108 |
| Enumerated | June 5, 2018 |
| Last updated | May 21, 2024 |
| Authorized official | Brandon Baartman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology | 207W00000X | 30828 (NE) |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.