NEBRASKA VISUAL INTEGRATION CENTER NPI 1124562699

NPI Information

  • NPI: 1124562699
  • Provider Name: NEBRASKA VISUAL INTEGRATION CENTER
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • CLIA Number: 28D2220662
  • Address: 11905 P ST
    STE. #106
    OMAHA, NE
    ZIP 68137
  • Phone: (402) 502-0043

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NPI Details

NEBRASKA VISUAL INTEGRATION CENTER is a vision therapy optometrist in Omaha, NE. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. NEBRASKA VISUAL INTEGRATION CENTER NPI is 1124562699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11905 P ST
STE. #106
OMAHA, NE
ZIP 68137-237
Phone: (402) 502-0043

The provider's authorized official is Tanner Calvin Gates .
The authorized official title is Optometrist and has the following contact phone number (402) 502-0043.

The CLIA number assigned to this NPI record is 28D2220662 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2016 and was last updated on 12/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy1362NEBRASKAYes

What is NPI?

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This page was last updated on: 11/21/2025

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