Individual
DR. JOHN R HERBOLSHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3906 TWIN CREEK DR, STE. 102, BELLEVUE, NE 68123-4104
(402) 932-8007
(402) 932-8112
Mailing address
3906 TWIN CREEK DR, STE. 102, BELLEVUE, NE 68123-4104
(402) 932-8007
(402) 932-8112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1217
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025340600
—
NE
05
—
10026095700
—
NE
Enumeration date
09/16/2006
Last updated
10/21/2011
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