Provider Demographics
NPI:1942050455
Name:NARKE, ALEXA ROSE (OD)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:ROSE
Last Name:NARKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 SANDY POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68003-7437
Mailing Address - Country:US
Mailing Address - Phone:402-618-5534
Mailing Address - Fax:
Practice Address - Street 1:17255 DAVENPORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-4092
Practice Address - Country:US
Practice Address - Phone:402-621-5281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1649152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist