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ROBERT STEPHEN VANDERVORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
9900 NICHOLAS ST, STE 275, OMAHA, NE 68114-2149
(402) 493-6500
(402) 493-4370
Mailing address
9900 NICHOLAS ST STE 250, OMAHA, NE 68114-2261
(402) 493-6500
(402) 493-4370

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
926
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025382400
NE
05
10025541400
NE
05
2987990
IA
01
37118
BCBS
NE
01
37191
BCBS
NE
01
71804
BCBS
IA
01
96854
BCBS
IA
01
99846
BCBS
IA
01
P00327582
PALMETTO RAILROAD
NE
Enumeration date
07/11/2006
Last updated
05/10/2018
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