Organization
VISION SPECIALISTS OF CLOCKTOWER VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE CHEATHAM OD (OWNER)
(712) 322-3097
Entity
Organization
Contact information
Practice address
625 N 98TH ST, OMAHA, NE 68114-2342
(402) 397-0497
(402) 397-0180
Mailing address
625 N 98TH ST, OMAHA, NE 68114-2342
(712) 322-3097
(712) 322-4130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
03/21/2018
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