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Organization

PROEYE GROUP SHADOW LAKE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM JEFFREY GEISERT O.D. (OWNER)
(402) 730-4842
Entity
Organization

Contact information

Practice address
7474 TOWNE CENTER PKWY, SUITE 107, PAPILLION, NE 68046-4805
(402) 592-3266
(402) 592-3249
Mailing address
443 ROAD 4600, HARDY, NE 68943-8835

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
944
NE

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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