Whalio Doctors

NPI 1255958070

Jackson Wesley Kube, OD

Practitioner Optometrist Norfolk, NE

Practice location

Address
2800 W Norfolk Ave, Norfolk, NE 68701-4402
Phone
(402) 371-8535
Mailing address
900 Blue Stem Cir, Norfolk, NE 68701-0839

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1511 (NE)

Registry record

NPI
1255958070
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jun 2020
Record last updated
27 Jun 2020

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.