Organization
PROFESSIONAL EYECARE OAKVIEW, INC
Active
Other names
ProEye Vision Center Omaha
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JEFFREY GEISERT (OWNER)
(402) 817-5626
Entity
Organization
Contact information
Practice address
12744 WESTPORT PKWY STE 1E, LA VISTA, NE 68138-4017
(402) 502-1228
(402) 502-1232
Mailing address
12744 WESTPORT PKWY STE 1E, LA VISTA, NE 68138-4017
(402) 502-1228
(402) 502-1232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36761
BXBS
NE
Enumeration date
05/21/2007
Last updated
11/23/2020
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