Organization
MIDWEST EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SLAGLE (ADMINISTRATOR/CEO)
(402) 552-2806
Entity
Organization
Contact information
Practice address
2012 CORNHUSKER RD, SUITE 400, BELLEVUE, NE 68123-4423
(402) 552-2020
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026247900
—
NE
Enumeration date
11/01/2012
Last updated
07/18/2013
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