Organization
OMAHA FOOT CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RICHARD LUECK DPM (OWNER PODIATRIST)
(402) 572-0423
Entity
Organization
Contact information
Practice address
6659 SORENSEN PARKWAY, OMAHA, NE 68152-2139
(402) 572-0423
(402) 572-0267
Mailing address
6659 SORENSEN PARKWAY, OMAHA, NE 68152-2139
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501973
—
IA
01
—
27 00096
UNITED HEALTH CARE
—
01
—
526929A
PRINCIPAL HEALTH CARE
—
01
—
D2526
BCBS NE
—
01
—
UI0900712
EXCLUSIVE CARE
—
Enumeration date
10/04/2006
Last updated
11/02/2010
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