Organization
HEARTLAND OPTICAL INC.
Active
Parent organization
HEARTLAND OPTICAL INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND OPTICAL INC.
Authorized official
MR. THOMAS M CONRAD (PRESIDENT)
(402) 476-3311
Entity
Organization
Contact information
Practice address
1437 N WEBB RD, GRAND ISLAND, NE 68803-2313
(308) 382-9205
Mailing address
1437 N WEBB RD, GRAND ISLAND, NE 68803-2313
(308) 382-9205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1004
NE
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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