Individual
DR. STEPHEN PHILIP GILDERSLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3200 O ST., LINCOLN, NE 68510
(402) 475-9113
(402) 475-8084
Mailing address
3200 O ST., LINCOLN, NE 68510
(402) 475-9113
(402) 475-8084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1353
NE
152W00000X
Optometrist
2796
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026004700
—
NE
Enumeration date
08/05/2010
Last updated
07/22/2021
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