Organization
WISE EYECARE LLC
Active
Other names
Complete Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LAST (OPTICIAN)
(402) 421-7773
Entity
Organization
Contact information
Practice address
1501 PINE LAKE RD, SUITE 1, LINCOLN, NE 68512-3692
(402) 421-7773
(402) 421-7859
Mailing address
1501 PINE LAKE RD, SUITE 1, LINCOLN, NE 68512-3692
(402) 421-7773
(402) 421-7859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1124
NE
152WC0802X
Corneal and Contact Management Optometrist
1124
NE
152WP0200X
Pediatric Optometrist
1124
NE
152WS0006X
Sports Vision Optometrist
1123
NE
152WV0400X
Vision Therapy Optometrist
1124
NE
Other
Enumeration date
02/08/2007
Last updated
08/11/2009
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