Organization
FREMONT VISION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER G FORNOFF O.D. (OWNER)
(402) 721-0409
Entity
Organization
Contact information
Practice address
1625 E MILITARY AVE, FREMONT, NE 68025-5463
(402) 721-0409
(402) 721-0409
Mailing address
1625 E MILITARY AVE, FREMONT, NE 68025-5463
(402) 721-0409
(402) 721-0409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
885
NE
Other
Enumeration date
08/08/2007
Last updated
04/20/2008
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