Mk Optical Enterprises, INC

NPI #1124209598 in Lincoln, Nebraska

Provider Information

NPI Number: 1124209598
Entity Type: Organization
Organization Name: Mk Optical Enterprises, INC
Primary Specialty: Optometrist
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 5801 S 58TH ST
Address 2: STE A
City: Lincoln
State: Nebraska
ZIP Code: 68516-6404
Phone: (402) 423-5367

Authorized Official

Name: DR. MATTHEW WADE DINSLAGE, O.D.
Title: PRESIDENT
Phone: (402) 423-5367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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