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General NPI Number Information
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NPI Number | 1962213710
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Entity Type | Organization
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Legal Business Name | OMAHA EYE & LASER INSTITUTE, INC.
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1633 NORMANDY CT
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City | LINCOLN
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State | NE
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Zip | 68512-1473
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Country | US
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Telephone | 402-493-2020
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Fax | 402-493-8987
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Provider Business Mailing Address
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Address Line | 11606 NICHOLAS ST
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City | OMAHA
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State | NE
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Zip | 68154-4478
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Country | US
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Telephone | 402-493-2020
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Fax | 402-493-8987
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | LEAH M ROSENGREN
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Credential |
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Telephone | 402-898-3818
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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