Organization
MIDWEST EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SLAGLE (ADMINISTRATOR/CEO)
(402) 552-2806
Entity
Organization
Contact information
Practice address
18111 Q ST, OMAHA, NE 68135-1200
(402) 552-2020
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
06/28/2010
Last updated
10/18/2010
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