Individual
DR. STACI M HANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1500 S 48TH ST, SUITE 610, LINCOLN, NE 68506-1276
(402) 483-4448
(402) 483-4750
Mailing address
11606 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4478
(402) 493-2020
(402) 493-8341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1221
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06945
BLUE CROSS
NE
01
—
281572
MEDICARE
NE
01
—
P00160845
RR MEDICARE
NE
01
—
P00200037
RR MEDICARE
NE
Enumeration date
12/28/2006
Last updated
11/21/2007
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