Individual
HEIDI HANISCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9239 W CENTER RD, SUITE 103, OMAHA, NE 68124-1900
(402) 898-3232
(402) 898-3234
Mailing address
PO BOX 30128, OMAHA, NE 68103-1228
(402) 898-3232
(402) 898-3234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02209
IA
152W00000X
Optometrist
Primary
1033
NE
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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