IndividualActive
Alex Van Kooten-Tharman, O.D.
NPI 1801549506 · Optometrist · Omaha, NE
Provider details
- NPI number
- 1801549506
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1568 (NE)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
17255 Davenport St Ste 139
Omaha, NE 68118-4020
Phone: (402) 763-6466
Fax: (402) 939-0809
Approximate (ZIP-level) locationGet directions
Mailing address
17255 Davenport St Ste 139
Omaha, NE 68118-4020
Additional practice locations (1)
- 17660 Wright St Ste 18Omaha, NE 68130-2899Phone: (402) 991-0160Fax: (402) 206-0885
Registry dates
- Enumerated
- 2022-02-02
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.