Individual
DR. TRACY L GISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5600 S 59TH ST, SUITE 105, LINCOLN, NE 68516-2386
(402) 328-8811
(402) 328-8813
Mailing address
5600 S 59TH ST, SUITE 105, LINCOLN, NE 68516-2386
(402) 328-8811
(402) 328-8813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
986
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6943
BLUE CROSS
NE
Enumeration date
02/24/2007
Last updated
07/08/2007
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