Individual
DR. JENNIFER RAELYN DEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2303 OSBORNE DR W, HASTINGS, NE 68901-9116
(402) 834-2222
(402) 834-3214
Mailing address
2303 OSBORNE DR W, HASTINGS, NE 68901-9116
(402) 834-2222
(402) 834-3214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1369
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026227800
—
NE
Enumeration date
04/08/2010
Last updated
09/07/2021
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