Organization
LEGACY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JOHN BREWER O.D. (PRESIDENT)
(402) 614-3200
Entity
Organization
Contact information
Practice address
17520 WRIGHT ST STE 105, OMAHA, NE 68130-4657
(402) 614-3200
(402) 614-7070
Mailing address
17520 WRIGHT ST STE 105, OMAHA, NE 68130-4657
(402) 614-3200
(402) 614-7070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1254
NE
Other
Enumeration date
07/08/2006
Last updated
03/26/2009
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