Organization
NEBRASKA VISUAL INTEGRATION CENTER
Active
Organization
NEBRASKA VISUAL INTEGRATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER CALVIN GATES O.D. (OPTOMETRIST)
(402) 502-0043
Entity
Organization
Contact information
Practice address
11905 P ST, STE. #106, OMAHA, NE 68137-2237
(402) 502-0043
Mailing address
11905 P ST, STE. #106, OMAHA, NE 68137-2237
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1362
NE
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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