NPI 1003800012

Jonathan Glyndon Knutson, OD

Practitioner Optometrist Lincoln, NE

Practice location

Address: 5630 S 84th St Suite 120, Lincoln, NE 68516-4427
Phone: (402) 488-2211

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1147 (NE)

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Registry record

NPI: 1003800012
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2005
Record last updated: 20 Jul 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.