Organization
OPTICAL GALLERY LLC
Active
Other names
Optical Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN HENZEL (MANAGER)
(402) 223-2950
Entity
Organization
Contact information
Practice address
2205 N 6TH ST, BEATRICE, NE 68310-1264
(402) 223-2950
(402) 223-5320
Mailing address
2205 N 6TH ST, BEATRICE, NE 68310-1264
(402) 223-2950
(402) 223-5320
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025614300
—
NE
Enumeration date
04/08/2008
Last updated
04/08/2008
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