Healthcare Provider Details

I. General information

NPI: 1427746403
Provider Name (Legal Business Name): SALUTE VISION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MEYER AVE BLDG 166
OFFUTT AFB NE
68113-2000
US

IV. Provider business mailing address

3105 SHERIDAN RD
BELLEVUE NE
68123-5320
US

V. Phone/Fax

Practice location:
  • Phone: 402-292-0396
  • Fax: 402-292-2263
Mailing address:
  • Phone: 402-452-7854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. VIVIANLE BENSON FREEMAN
Title or Position: OPTOMETRIST
Credential: OD
Phone: 402-452-7854