Provider Demographics
NPI:1518272798
Name:DUFNER, STEPHANIE D (OD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:D
Last Name:DUFNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:D
Other - Last Name:DUFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8650 S 71ST PLZ
Mailing Address - Street 2:SUITE D
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-2104
Mailing Address - Country:US
Mailing Address - Phone:402-408-1016
Mailing Address - Fax:402-408-1017
Practice Address - Street 1:8650 S 71ST PLZ
Practice Address - Street 2:SUITE D
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133-2104
Practice Address - Country:US
Practice Address - Phone:402-408-1016
Practice Address - Fax:402-408-1017
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1349152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist