Individual
DR. GREGORY P GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3020 S 84TH ST, OMAHA, NE 68124-3215
(402) 391-1143
(402) 391-3335
Mailing address
836 S 130TH ST, OMAHA, NE 68154-2914
(402) 330-0616
(402) 391-3335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NEBRASKA 985 TPA 162
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41-098-5054-18
—
NE
Enumeration date
05/17/2006
Last updated
11/26/2018
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