Organization
SKYLINE VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON WALZ-TARKOWSKI O.D. (PRESIDENT/ OPTOMETRIST)
(312) 504-6477
Entity
Organization
Contact information
Practice address
1311 S 204TH ST, ELKHORN, NE 68022-2880
(402) 946-2225
Mailing address
16417 AUDREY ST, OMAHA, NE 68136-3033
(402) 946-2225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1459
NE
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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