Organization
FAMILY VISION CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN L LAURITZEN O.D. (OWNER)
(402) 625-5081
Entity
Organization
Contact information
Practice address
221 N OAKLAND AVE, OAKLAND, NE 68045-1338
(402) 685-5081
Mailing address
221 N OAKLAND AVE, OAKLAND, NE 68045-1338
(402) 685-5081
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
767
NE
261Q00000X
Clinic/Center
767
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25136
OAKLAND CONVENTRY PAYOR
NE
01
—
7748
OAKLAND BLUE CROSS
NE
01
—
8422
OAKLAND MIDLANDS CHOICE
NE
Enumeration date
11/01/2006
Last updated
10/04/2010
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