Most Relevant Information
Provider Data
| NPI Number: | 1003046087 |
| Provider Name: | KRYSTAL ANN WELLS OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1342 |
Most Important Dates
| Enumeration Date: | 07/23/2009 |
| Last Updated: | 09/09/2021 |
Provider Practice Location
4353 DODGE ST
OMAHA
NE
681312709
Practice Location Phone/Fax
| Phone: | 4025522020 |
| Fax: | 4025522367 |
Provider Mailing Location
4353 DODGE ST
OMAHA
NE
681312709
Provider Mailing Phone/Fax
| Phone: | 4025522020 |
| Fax: | 4025522367 |