Individual
HUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4700 N 27TH ST, WALMART VISION CENTER, LINCOLN, NE 68521-1190
(402) 438-4386
(402) 438-4393
Mailing address
4700 N 27TH ST, WALMART VISION CENTER, LINCOLN, NE 68521-1190
(402) 438-4386
(402) 438-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
074096
IA
152W00000X
Optometrist
Primary
1424
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026652000
—
NE
Enumeration date
07/04/2014
Last updated
05/08/2017
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