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Organization
PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.C.
Active
Organization
PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DYLAN M STOFFER (CREDENTIALING & CONTRACTING MANAGER)
(402) 399-9400
Entity
Organization
Contact information
Practice address
515 N 98TH ST, OMAHA, NE 68114-2368
(402) 399-9400
(402) 399-8170
Mailing address
515 N 98TH ST, OMAHA, NE 68114-2368
(402) 399-9400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
08/22/2022
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