Organization
MALBAR VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAIMI LEE ROSE (OFFICE MANAGER)
(402) 475-9113
Entity
Organization
Contact information
Practice address
3200 O ST STE A, LINCOLN, NE 68510-1510
(402) 475-9113
(402) 475-8084
Mailing address
3200 O ST STE A, LINCOLN, NE 68510-1510
(402) 475-9113
(402) 475-8084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0763
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026004700
—
NE
Enumeration date
12/23/2011
Last updated
12/23/2011
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