MIDWEST EYE CARE PC (NPI# 1023160926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023160926 |
| Entity Type | Organization |
| Organization Name | MIDWEST EYE CARE PC |
| Practice Address |
13500 California St Omaha NE 68154-5248 |
| Mailing Address |
4353 Dodge St Omaha NE 68131-2709 |
| Practice Telephone | 4025522020 |
| Mailing Telephone | 4025522020 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-02-11 |
| Authorized Official Name | JAY SLAGLE (ADMINISTRATOR CEO) |
| Authorized Official Telephone | 4025522020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025371600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649581323 | Midwest Eye Care PC | Optometrist | 18111 Q St, Omaha, NE 68135-1200 | 2010-06-28 |
| 1093867301 | Midwest Eye Care PC | Technician/Technologist | 715 Harmony St Ste 300, Council Bluffs, IA 51503-3147 | 2007-01-17 |
| 1104150333 | Midwest Eye Care PC | Ophthalmology | 7202 Giles Rd, Suite 3, La Vista, NE 68128-6000 | 2009-09-21 |
| 1912059817 | Midwest Eye Care PC | Ophthalmology | 4353 Dodge St, Omaha, NE 68131-2709 | 2007-01-18 |
| 1780786160 | Midwest Eye Care PC | Durable Medical Equipment & Medical Supplies | 101 N Parkway Dr, Pekin, IL 61554-3932 | 2006-09-05 |
| 1871601997 | Midwest Eye Care PC | Durable Medical Equipment & Medical Supplies | 4727 N Sheridan Rd, Peoria, IL 61614-5925 | 2006-08-28 |
| Street Address |
13500 CALIFORNIA ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205010006 | Jill Jene Grennan | Ophthalmology | 13500 California St, Omaha, NE 68154-5248 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
| 1164548921 | William D Cox | Technician/Technologist | 6767 Maple St, Omaha, NE 68104-3903 | 2007-03-22 |
| 1386777860 | Tommie L Blan Jr. | Technician/Technologist | 8616 N 30th St, Omaha, NE 68112-1808 | 2007-03-13 |
| 1780221515 | Fashion Forward Optical | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132-2978 | 2019-11-27 |
| 1780134916 | Visual Eyes Optical | Technician/Technologist | 515 N 98th St, Ste 2, Omaha, NE 68114-2368 | 2016-10-12 |
| 1124573712 | Carlson Optical Inc. | Technician/Technologist | 513 S 13th St, Omaha, NE 68102-2813 | 2016-08-24 |
| 1861842916 | Lori Louise Hagensen | Technician/Technologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2016-06-20 |
| 1023446200 | Wal-mart Stores, Inc | Technician/Technologist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2013-10-24 |
| 1417221813 | Davids Eyecare Inc | Technician/Technologist | 17255 Davenport St, Suite 139, Omaha, NE 68118-4092 | 2012-03-02 |
| 1467736587 | Alvin Arthur Zipperlen | Technician/Technologist | 6767 Maple St, Omaha, NE 68104 | 2011-10-07 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.