Whalio Doctors

NPI 1467443804

Jerry a Vaughan, OD

Practitioner Optometrist Kearney, NE

Practice location

Address
411 W. 39th St., Kearney, NE 68845
Phone
(308) 865-2760
Fax
(308) 865-2769

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 834 (NE)

Registry record

NPI
1467443804
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Nov 2005
Record last updated
18 Nov 2009

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.