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General NPI Number Information
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NPI Number | 1053454124
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Entity Type | Individual
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Provider Name | WILLIAM JEFFREY GEISERT OD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 6100 O ST BLDG #59
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City | LINCOLN
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State | NE
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Zip | 68505
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Country | US
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Telephone | 402-467-3423
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Fax | 402-467-3425
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Provider Business Mailing Address
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Address Line | 8250 OLD CHENEY RD STE A
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City | LINCOLN
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State | NE
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Zip | 68516-3533
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Country | US
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Telephone | 402-817-5626
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Fax | 402-817-5631
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 944
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License Number State | NE
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