Individual
BROOKE TAYLOR BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
570 FALLBROOK BLVD STE 108, LINCOLN, NE 68521-9025
(402) 742-0399
(027) 420-4954
Mailing address
570 FALLBROOK BLVD STE 108, LINCOLN, NE 68521-9025
(402) 742-0399
(027) 420-4954
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1512
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41600
—
NE
Enumeration date
05/12/2020
Last updated
02/22/2021
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