Individual
DR. ANNETTE JURADO ASTUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7421 S 95TH ST, LA VISTA, NE 68128-8234
(402) 408-9887
Mailing address
7421 S 95TH ST, LA VISTA, NE 68128-8234
(402) 408-9887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1270
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025829000
—
NE
01
—
35689
AVESIS
NE
01
—
47985
OPTUM HEALTH
NE
01
—
64661
DAVIS VISION
NE
Enumeration date
10/31/2006
Last updated
05/16/2017
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