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Organization

MK OPTICAL ENTERPRISES, INC

Active
Other names
The Spectacle Place
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW WADE DINSLAGE O.D. (PRESIDENT)
(402) 423-5367
Entity
Organization

Contact information

Practice address
5801 S 58TH ST, STE A, LINCOLN, NE 68516-6404
(402) 423-5367
(402) 420-5841
Mailing address
5801 S 58TH ST, STE A, LINCOLN, NE 68516-6404
(402) 423-5367
(402) 420-5841

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1257
NE

Other

Enumeration date
11/14/2007
Last updated
11/14/2007
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