Organization
ADVANCED VISION THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAY WITTE O.D. (PRESIDENT)
(402) 366-7849
Entity
Organization
Contact information
Practice address
3044 S 84TH ST STE 1, OMAHA, NE 68124-3208
(402) 391-1143
Mailing address
1249 GLENWOOD CT, FREMONT, NE 68025-7887
(402) 366-7849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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