Tiburon Family Eyecare, Pc

NPI 1285971994 - Optometrist - 152W00000X

NPI Details
NPI 1285971994
Enumeration Date 01/15/2013
Last Updated 04/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRADLEY J BRADLEY
Position OWNER/OPTOMETRIST
Phone (402) 933-5775
Fax
Practice Location
11314 WICKERSHAM BLVD
STE. 300
GRETNA NE, 68028-6989, US
Phone (402) 933-5775
Fax
Business Location
11314 WICKERSHAM BLVD
STE. 300
GRETNA NE, 68028-6989, US
Phone (402) 933-5775
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Nebraska
License Number 1277
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According to our database, Tiburon Family Eyecare, Pc NPI is 1285971994, taxonomy code is 152W00000X and license number is 1277, license state is located at Nebraska. Tiburon Family Eyecare, Pc physically located at 11314 Wickersham Blvd, Gretna NE, 68028-6989. NPI Number 1033115704 has the healthcare provider type.

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1285971994 NPI number is provided on an as is basis without warranty of any kind. 1285971994 is maintained by the National Plan & Provider Enumeration System. The contents of Tiburon Family Eyecare, Pc are for informational purposes only.