Organization
MY FAMILY VISION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOSER O.D. (MEDICAL DIRECTOR)
(308) 345-2954
Entity
Organization
Contact information
Practice address
212 W 9TH ST, MC COOK, NE 69001-3515
(308) 345-2954
(700) 345-7719
Mailing address
212 W 9TH ST, MC COOK, NE 69001-3515
(308) 345-2954
(700) 345-7719
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1431
NE
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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