Organization Name: | JERRY G DAMME O.D.,P.C. |
NPI Number: | 1205015963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY G DAMME (PRESIDENT) |
Mailing Address: | 504 N Washington St Box 461066 Papillion |
State: | NE US |
Postal Code: | 680462236 |
Phone Number: | 4025924980 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |