Organization
CHARLES H. COREN, OD
Active
Other names
Optical Delights
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HENRY COREN OD (OWNER)
(402) 423-0707
Entity
Organization
Contact information
Practice address
5400 S 56TH ST, SUITE 7, LINCOLN, NE 68516-1889
(402) 423-0707
Mailing address
5400 S 56TH ST, SUITE 7, LINCOLN, NE 68516-1889
(402) 423-0707
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
NE 793
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025085000
—
NE
01
—
36334
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/11/2007
Last updated
06/16/2008
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