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Organization

OMEGAVISION PC

Active
Other names
Schaffer & Schaffer Family Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON C SCHAFFER OD (PRESIDENT)
(402) 898-3937
Entity
Organization

Contact information

Practice address
16920 WRIGHT PLZ, SUITE 122, OMAHA, NE 68130-4660
(402) 898-3937
Mailing address
16920 WRIGHT PLZ, SUITE 122, OMAHA, NE 68130-4660
(402) 898-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1016
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025388400
NE
05
10025388500
NE
01
410039188
RR MEDICARE
NE
01
P00393695
RR MEDICARE
NE
Enumeration date
10/19/2006
Last updated
07/19/2011
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