Organization
HOSPITAL EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEPHEN VANDERVORT OD (MEMBER)
(402) 493-6500
Entity
Organization
Contact information
Practice address
601 N 30TH ST, STE 3700, OMAHA, NE 68131-2137
(402) 280-4102
Mailing address
9900 NICHOLAS ST, STE 275, OMAHA, NE 68114-2249
(402) 493-6500
(402) 493-4370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025541400
—
NE
05
—
1013107929
—
IA
Enumeration date
07/26/2007
Last updated
06/19/2008
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