Organization
OPTICAL OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J DIETZE MD (OWNER)
(402) 462-9009
Entity
Organization
Contact information
Practice address
715 N KANSAS AVE, SUITE 300, HASTINGS, NE 68901
(402) 462-9009
(402) 462-8090
Mailing address
715 N KANSAS AVE, SUITE 300, HASTINGS, NE 68901
(402) 462-9009
(402) 462-8090
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
332H00000X
Eyewear Supplier
Primary
—
NE
Other
Enumeration date
11/06/2006
Last updated
07/21/2022
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