Organization
MIDWEST EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SLAGLE (ADMINISTRATOR CEO)
(402) 552-2020
Entity
Organization
Contact information
Practice address
13500 CALIFORNIA ST, OMAHA, NE 68154-5248
(402) 552-2020
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025371600
—
NE
Enumeration date
01/18/2007
Last updated
02/11/2011
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