Search › Nebraska › 152W00000X
Jacob Ethen, OD
NPI 1083307979 · on the registry since 2023 · sole proprietor
Practice
- Address
- 718 N Washington St
Papillion, NE 68046 - Phone
- (402) 339-5717
- Organisation at this address
- Nebraska Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska