Eyeconic Vision, LLC
Organization Active NPI Optometrist · Gretna, NE
NPI 1235791104 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1235791104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYECONIC VISION, LLC
- Practice address
- 11844 Standing Stone Dr Ste 100
Gretna, NE 68028-7979 - Phone
- (402) 687-3435
- NPI assigned
- Jul 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Cathleen Roark, OD
- Title
- Owner
- Phone
- (402) 687-3435
National Provider Directory
Locations
11844 Standing Stone Dr
Ste 100
Gretna, NE 68028
Phone (402) 322-8838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
11844 Standing Stone Dr Ste 100
Gretna, NE 68028-7979
Mailing address
18814 Briar St
Omaha, NE 68136-1626
Phone (308) 940-0876
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235538125 | Other | NPI |
Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.