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Individual

WILLIE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9900 NICHOLAS ST, SUITE 250, OMAHA, NE 68114-2249
(402) 493-6500
(402) 493-4370
Mailing address
9900 NICHOLAS ST, STE 250, OMAHA, NE 68114-2261

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1318
NE
152WP0200X
Pediatric Optometrist
1318
NE
152WS0006X
Sports Vision Optometrist
1318
NE
152WV0400X
Vision Therapy Optometrist
1318
NE

Other

Enumeration date
06/30/2009
Last updated
07/09/2019
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