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Organization
PACIFIC FAMILY VISION, INC
Active
Organization
PACIFIC FAMILY VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLADE LINDQUIST OD (PRESIDENT)
(402) 697-5122
Entity
Organization
Contact information
Practice address
15655 PACIFIC ST, OMAHA, NE 68118-2114
(402) 697-5122
(402) 697-5567
Mailing address
15655 PACIFIC ST, OMAHA, NE 68118-2114
(402) 697-5122
(402) 697-5567
Taxonomy
Speciality
Code
Description
License number
State
152WS0006X
Sports Vision Optometrist
Primary
NE 1164
NE
Other
Enumeration date
03/23/2007
Last updated
09/03/2010
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