Legacy Eyecare, LLC

NPI #1790718328 in Omaha, Nebraska

Provider Information

NPI Number: 1790718328
Entity Type: Organization
Organization Name: Legacy Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 8, 2006
Last Updated: Mar 26, 2009

Practice Location

Address: 17520 WRIGHT ST STE 105
City: Omaha
State: Nebraska
ZIP Code: 68130-4657
Phone: (402) 614-3200

Authorized Official

Name: JEFFREY JOHN BREWER, O.D.
Title: PRESIDENT
Phone: (402) 614-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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