Organization
VANCE THOMPSON VISION NE, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JAMES BAARTMAN (OWNER)
(402) 506-9970
Entity
Organization
Contact information
Practice address
4909 S 118TH ST, OMAHA, NE 68137-2213
(402) 506-9970
Mailing address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 361-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
30828
NE
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
05/21/2024
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