NPI 1124209598

Mk Optical Enterprises, INC

Organisation Optometrist Lincoln, NE

Practice location

Address: 5801 S 58th St STE a, Lincoln, NE 68516-6404
Phone: (402) 423-5367
Fax: (402) 420-5841

Authorised official

Name: Matthew Wade Dinslage
Title: President
Phone: (402) 423-5367

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1257 (NE)

Other Optometrist providers in Nebraska →

Registry record

NPI: 1124209598
Entity type: Organization
NPI issued: 14 Nov 2007
Record last updated: 14 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.