Individual
DR. ALEX MICHAEL VAN KOOTEN-THARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17255 DAVENPORT ST STE 139, OMAHA, NE 68118-4020
(402) 763-6466
(402) 939-0809
Mailing address
17255 DAVENPORT ST STE 139, OMAHA, NE 68118-4020
(402) 763-6466
(402) 939-0809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1568
NE
Other
Enumeration date
02/02/2022
Last updated
05/06/2025
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