Individual
NANCY ANN DOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
625 LINCOLN AVE, YORK, NE 68467-2946
(402) 362-3313
(402) 362-1533
Mailing address
625 LINCOLN AVE, YORK, NE 68467-2946
(402) 362-3313
(402) 362-1533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
931
NE
152WC0802X
Corneal and Contact Management Optometrist
931
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070972613
—
NE
Enumeration date
03/18/2006
Last updated
09/21/2007
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