Heidi A Hanisch Od Pc

NPI 1497079644 - Optometrist - 152W00000X

NPI Details
NPI 1497079644
Enumeration Date 03/17/2010
Last Updated 04/27/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Position OWNER
Phone (402) 727-0804
Fax (402) 727-6102
Practice Location
3010 E 23RD ST
FREMONT NE, 68025-2479, US
Phone (402) 727-0804
Fax (402) 727-6102
Business Location
PO BOX 241296
OMAHA NE, 68124-5296, US
Phone (402) 727-0804
Fax (402) 727-6102
Taxonomy Code 152W00000X
License State Nebraska
License Number 1033
Remove 1497079644 NPI Number

According to our database, Heidi A Hanisch Od Pc NPI is 1497079644, taxonomy code is 152W00000X and license number is 1033, license state is located at Nebraska. Heidi A Hanisch Od Pc physically located at 3010 E 23rd St, Fremont NE, 68025-2479. NPI Number 1033115704 has the healthcare provider type.

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1497079644 NPI number is provided on an as is basis without warranty of any kind. 1497079644 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi A Hanisch Od Pc are for informational purposes only.