Individual
DR. JERRY G. DAMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7202 GILES RD, SUITE 3, LA VISTA, NE 68128-6000
(402) 552-2020
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
816
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0659240001
DEMERC
—
01
—
410014479
RAILROAD RETIREMENT
—
05
—
47-062372200
—
NE
Enumeration date
10/18/2006
Last updated
10/23/2009
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