Individual
TRACIE GOODENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 S 85TH ST STE 200, LINCOLN, NE 68520-1501
(402) 986-7856
Mailing address
1946 S 80TH ST, LINCOLN, NE 68506-6508
(785) 819-1770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1648
NE
Other
Enumeration date
07/12/2024
Last updated
08/15/2024
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