Healthcare Provider Details

I. General information

NPI: 1619818572
Provider Name (Legal Business Name): BALANCED VISION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 L ST
AURORA NE
68818-2016
US

IV. Provider business mailing address

601 TERRIE RD
AURORA NE
68818-1132
US

V. Phone/Fax

Practice location:
  • Phone: 402-631-8847
  • Fax:
Mailing address:
  • Phone: 402-631-8847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY EBERLY
Title or Position: OCCUPATIONAL THERAPIST
Credential: OT
Phone: 402-631-8847