SUPERIOR VISION PC (NPI# 1144475740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144475740 |
| Entity Type | Organization |
| Organization Name | SUPERIOR VISION PC |
| Practice Address |
358 Central Ave Superior NE 68978 |
| Practice Telephone | 4028793233 |
| Practice Fax Number | 4028793378 |
| Mailing Telephone | 4028793233 |
| Mailing Fax Number | 4028793378 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | DR. JEREMY W. MCMEEN (OWNER) |
| Authorized Official Telephone | 4028793233 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1093 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS NEBRASKA | 36742 | 01 |
| KS | BCBS KANSAS | 49839 | 01 |
| NE | PALMETTO RAILROAD MEDICARE | 410033190 | 01 |
| KS | 100263170A | 05 |
| Street Address |
358 CENTRAL AVE |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Find all providers in zip 68978 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426492 | Janice E Carter | Eyewear Supplier (Equipment, not the service) | 1505 Tower Ave, Superior, WI 54880-2531 | 2006-09-13 |
| 1902296973 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 600 Marshall Rd, Superior, CO 80027-9730 | 2015-01-29 |
| 1982755518 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 400 Marshall Rd, Superior, CO 80027-8623 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462763 | Thundercloud Optical, LLC | Eyewear Supplier (Equipment, not the service) | 8838 Washington Cir, Omaha, NE 68127-4011 | 2019-08-16 |
| 1841856234 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2801 Pine Lake Rd Ste J, Lincoln, NE 68516-6041 | 2019-05-12 |
| 1659937027 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2802 S 143rd Plz, Omaha, NE 68144-5611 | 2019-05-11 |
| 1902462377 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1130 S 13th St Ste 200, Norfolk, NE 68701-5733 | 2019-05-11 |
| 1952967325 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1919 N Diers Ave Ste B, Grand Island, NE 68803-1284 | 2019-05-11 |
| 1760048136 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 848 Cornhusker Rd Ste 105, Bellevue, NE 68123-4433 | 2019-05-11 |
| 1578099024 | Walman Optical Company | Eyewear Supplier (Equipment, not the service) | 12240 Emmet St, Omaha, NE 68164-4265 | 2017-05-03 |
| 1679921720 | Statton Optical | Eyewear Supplier (Equipment, not the service) | 4645 Normal Blvd Ste 132, Lincoln, NE 68506-5823 | 2016-05-31 |
| 1477890937 | Arkfeld, Parson, Goldstein, PC | Eyewear Supplier (Equipment, not the service) | 450 Regency Pkwy, Suite 110, Omaha, NE 68114-3764 | 2013-01-03 |
| 1588950869 | Sutton Vision Center Inc | Eyewear Supplier (Equipment, not the service) | 103 N Saunders Ave, Sutton, NE 68979-2506 | 2011-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUPERIOR VISION PC.
| 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.