Individual
TYLER R JEVNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6751 N 72ND ST STE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150
Mailing address
1400 COMMON DR, EL PASO, TX 79936-5922
(915) 595-4375
(915) 595-4460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1528
NE
152W00000X
Optometrist
9562T
TX
Other
Enumeration date
11/06/2018
Last updated
10/26/2021
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