Organization
SPEC SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ISRAELSON (OPTICIAN/OWNER)
(402) 486-3937
Entity
Organization
Contact information
Practice address
7121 A ST, SUITE #202, LINCOLN, NE 68510-4289
(402) 486-3937
Mailing address
7121 A ST, SUITE #202, LINCOLN, NE 68510-4289
(402) 486-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
04/20/2008
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