Provider Demographics
NPI:1205095353
Name:AHRENS, GINNY L (OD)
Entity type:Individual
Prefix:MRS
First Name:GINNY
Middle Name:L
Last Name:AHRENS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20330 VETERANS DR. STE 4
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-6929
Mailing Address - Country:US
Mailing Address - Phone:402-885-7695
Mailing Address - Fax:402-884-2885
Practice Address - Street 1:20330 VETERANS DR. STE 4
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-6929
Practice Address - Country:US
Practice Address - Phone:402-885-7695
Practice Address - Fax:402-884-2885
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1302152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist