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Individual

DR. SHANNON L HEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3612 N 165TH ST, OMAHA, NE 68116-6459
(402) 916-9822
(402) 502-7776
Mailing address
3612 N 165TH ST STE 139, OMAHA, NE 68116-6459
(402) 916-9822

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1366
NE

Other

Enumeration date
07/14/2011
Last updated
08/26/2021
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