Organization
ENVISION EYECARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA WADE ENGEL O.D. (MANAGING MEMBER)
(402) 730-9316
Entity
Organization
Contact information
Practice address
1171 N COTNER BLVD, LINCOLN, NE 68505-1835
(402) 466-6070
Mailing address
12401 EMMAWALTER RD, LINCOLN, NE 68517-9833
(402) 730-9316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1182
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679524755
—
NE
Enumeration date
12/08/2015
Last updated
12/08/2015
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