Provider Demographics
NPI:1023306792
Name:KUGLER VISION PC
Entity type:Organization
Organization Name:KUGLER VISION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-558-2211
Mailing Address - Street 1:13923 GOLD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2379
Mailing Address - Country:US
Mailing Address - Phone:402-558-2211
Mailing Address - Fax:402-558-3456
Practice Address - Street 1:13923 GOLD CIRCLE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2379
Practice Address - Country:US
Practice Address - Phone:402-558-2211
Practice Address - Fax:402-558-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23266207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty