Organization
SIGNATURE EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GLYNDON KNUTSON O.D. (OWNER)
(402) 488-2211
Entity
Organization
Contact information
Practice address
5630 S 84TH ST, SUITE 120, LINCOLN, NE 68516-4470
(402) 488-2211
Mailing address
5630 S 84TH ST, SUITE 120, LINCOLN, NE 68516-4470
(402) 488-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1147
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025538200
—
NE
Enumeration date
07/25/2007
Last updated
04/07/2008
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