IndividualActive
Kathy Niemann, OPTICIAN
NPI 1790073120 · Optician · Omaha, NE
Provider details
- NPI number
- 1790073120
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1104 S 76th Ave
Omaha, NE 68124-1559
Phone: (402) 955-2020
Fax: (402) 955-2025
Approximate (ZIP-level) locationGet directions
Mailing address
1104 S 76th Ave
Omaha, NE 68124-1559
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2023-09-21
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.