Individual
MR. TERRY LEGACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12330 K PLZ STE 109, OMAHA, NE 68137-2270
(402) 334-9511
(402) 334-1070
Mailing address
PO BOX 181, GRETNA, NE 68028-0181
(402) 334-9511
(402) 334-1070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1005
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025340500
—
NE
Enumeration date
10/24/2006
Last updated
08/04/2015
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