Individual
ALEXANDER GEORGE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15340 WEIR ST, OMAHA, NE 68137-5005
(402) 932-9222
Mailing address
726 S 159TH AVE, OMAHA, NE 68118-2139
(402) 350-3653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10029T
TX
152W00000X
Optometrist
Primary
1570
NE
Other
Enumeration date
04/23/2020
Last updated
06/29/2023
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