International Eyecare Center, Inc.

NPI #1376542787 in Omaha, Nebraska

Provider Information

NPI Number: 1376542787
Entity Type: Organization
Organization Name: International Eyecare Center, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jul 18, 2005
Last Updated: Jan 22, 2021

Practice Location

Address: 409 N 78TH ST
City: Omaha
State: Nebraska
ZIP Code: 68114-3638
Phone: (402) 391-6600

Authorized Official

Name: CATHY LEE SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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