Provider Demographics
NPI:1184954927
Name:HYTREK, BRETT JAMAS (OD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:JAMAS
Last Name:HYTREK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 MCMILLAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-2052
Mailing Address - Country:US
Mailing Address - Phone:308-995-8697
Mailing Address - Fax:
Practice Address - Street 1:503 MCMILLAN ST
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-2052
Practice Address - Country:US
Practice Address - Phone:308-995-8697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1337152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist