Provider Demographics
NPI:1811182280
Name:KUESTER, ALISON B (OD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:B
Last Name:KUESTER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:B
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:8141 W CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3273
Mailing Address - Country:US
Mailing Address - Phone:402-391-1100
Mailing Address - Fax:402-391-1233
Practice Address - Street 1:8141 W CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3273
Practice Address - Country:US
Practice Address - Phone:402-391-1100
Practice Address - Fax:402-391-1233
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENE1331152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025553500Medicaid
NE911749018OtherTAX ID NUMBER
NE098712003Medicare PIN