Organization
BELLEVUE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W GRANGE O.D. (O.D.)
(402) 291-7144
Entity
Organization
Contact information
Practice address
1103 GALVIN RD S, BELLEVUE, NE 68005-3002
(402) 291-7144
(402) 292-7122
Mailing address
1103 GALVIN RD S, BELLEVUE, NE 68005-3002
(402) 291-7144
(402) 292-7122
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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