Dr. Matthew Luke Willis
Optometrist
4353 Dodge St
Omaha
, Nebraska 68131-2709
Dr. Matthew Luke Willis
Optometrist
4353 Dodge St
Omaha
, Nebraska 68131-2709
(402) 552-2367
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Matthew Luke Willis
- 4353 Dodge St
- Omaha, NE
- Zip : 68131-2709
- Fax : (402) 552-2367
- Phone : (402) 552-2020
Second Address
- Dr. Matthew Luke Willis
- 4353 Dodge St
- Omaha, NE
- Zip : 68131-2709
- Fax : (402) 552-2367
- Phone : (402) 552-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1380 | NE |
National Provider Identifier
| NPI | 1013204890 |
|---|---|
| Provider Name | Dr. Matthew Luke Willis |
| First Address | Omaha, NE 68131-2709 |
| Second Address | Omaha, NE 68131-2709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2011 |
| Last Update Date | 09/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.