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Organization

PROFESSIONAL OPTICAL CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN A HEINE (PRESIDENT)
(402) 397-7998
Entity
Organization

Contact information

Practice address
2420 S 73RD ST, OMAHA, NE 68124-2396
(402) 397-7998
(402) 397-3090
Mailing address
2420 S 73RD ST, OMAHA, NE 68124-2396
(402) 397-7998
(402) 397-3090

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
012158884
NE

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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