Organization
VISION SPECIALISTS ON HARRISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE CHEATHAM OD (OWNER)
(712) 322-3097
Entity
Organization
Contact information
Practice address
6720 S 178TH STREET, OMAHA, NE 68135
(402) 250-2302
(402) 383-9191
Mailing address
2514 W BROADWAY, COUNCIL BLUFFS, IA 51501
(712) 322-3097
(712) 322-4130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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