person
Mr. Tommie L Blan JR.
Optician in Omaha, Nebraska
NPI 1386777860

Tommie L Blan JR. is a Optician based in Omaha, NE and is specialized in Optician. Tommie L Blan JR. practices in Omaha, NE. The NPI Number for Tommie L Blan JR. is 1386777860 and holds a License No. (Nebraska).

The current practice location address for Tommie L Blan JR. is 8616 N 30Th St, Omaha, NE and can be reached out via phone at 402-451-1717 and via fax at 402-451-3469.

Location: 8616 N 30Th St, Omaha, NE, 68112-1808
person
Provider Profile Details
NPI Number
1386777860
Provider Name
Tommie L Blan JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
8616 N 30Th St, Omaha, NE, 68112-1808
Phone Number
402-451-1717
Fax Number
402-451-3469
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025369100 05 NE
017542 05 NE
institution
Provider Business Practice Location Address Details
Address
8616 N 30Th St
City
State
Zip
68112-1808
Phone Number
402-451-1717
Fax Number
402-451-3469
person
Provider Business Mailing Address Details
Address
8616 N 30Th St
City
State
Zip
68112-1808
Phone Number
402-451-1717
Fax Number
402-451-3469
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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