Organization
FAMILY VISION CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN L LAURITZEN O.D. (OWNER)
(402) 372-3266
Entity
Organization
Contact information
Practice address
101 W DECATUR ST, WEST POINT, NE 68788-1407
(402) 372-3266
(402) 372-5736
Mailing address
101 W DECATUR ST, WEST POINT, NE 68788-1407
(402) 372-3266
(402) 372-5736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
767
NE
261Q00000X
Clinic/Center
767
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25136
CONVENTRY WP
NE
01
—
7748
BLUE CROSS WP
NE
01
—
8422
MIDLANDS CHOICE WP
NE
Enumeration date
10/24/2006
Last updated
02/16/2012
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