VANCE THOMPSON VISION SURGERY CENTER NE LLC NPI 1992343610

NPI Information

VANCE THOMPSON VISION SURGERY CENTER NE, LLC is an ambulatory surgical clinic center in Omaha, NE. VANCE THOMPSON VISION SURGERY CENTER NE, LLC NPI is 1992343610. The provider is registered as an organization entity type.

The provider's business location address is:

4909 S 118TH ST
OMAHA, NE
ZIP 68137-213
Phone: (402) 397-2010
Fax: (402) 397-8439

The provider's authorized official is Matthew Jensen .
The authorized official title is Ceo and has the following contact phone number (605) 371-7120.

The CLIA number assigned to this NPI record is 28D1046186 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 5/22/2020.

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:

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