Individual
DR. KAREN BORCHMAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3902 LEAVENWORTH ST, OMAHA, NE 68105-0003
(402) 559-2020
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1145
NE
152WL0500X
Low Vision Rehabilitation Optometrist
1145
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145
NEBR LICENSE
NE
Enumeration date
09/28/2006
Last updated
02/08/2021
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