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Organization

WB ENTERPRISES

Active
Other names
Physicians Optical Service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM B ATHEY OPTICIAN (OWNER)
(308) 865-2757
Entity
Organization

Contact information

Practice address
3808 28TH AVE, SUITE A, KEARNEY, NE 68845-1290
(308) 865-2757
(308) 865-2758
Mailing address
3808 28TH AVE, SUITE A, KEARNEY, NE 68845-1290
(308) 865-2757
(308) 865-2758

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
26981ABOC
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025321800
NE
Enumeration date
04/10/2008
Last updated
04/10/2008
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