Individual
KIMBERLY J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5701 BOBOLI LN STE 101, LINCOLN, NE 68516-3407
(402) 423-3937
(531) 350-5774
Mailing address
5701 BOBOLI LN STE 101, LINCOLN, NE 68516-3407
(402) 423-3937
(531) 350-5774
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1155
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36328
BCBS
NE
Enumeration date
07/20/2006
Last updated
09/19/2024
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