Organization
BOLEN EIGENBERG PC
Active
Other names
Minden Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL BOLEN OD (OPTOMETRIST)
(308) 440-3837
Entity
Organization
Contact information
Practice address
110 E HAWTHORNE ST, MINDEN, NE 68959-1971
(308) 832-0144
Mailing address
1918 W 5TH ST, HASTINGS, NE 68901-4704
(308) 832-0144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1292
NE
Other
Enumeration date
11/25/2012
Last updated
03/01/2013
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