Organization
HEIDI A HANISCH OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI A HANISCH OD (OWNER)
(402) 981-7802
Entity
Organization
Contact information
Practice address
3010 E 23RD ST, FREMONT, NE 68025-2479
(402) 727-0804
(402) 727-6102
Mailing address
PO BOX 241296, OMAHA, NE 68124-5296
(402) 727-0804
(402) 727-6102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1033
NE
Other
Enumeration date
03/17/2010
Last updated
04/27/2010
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