D.B.A MOM'S MASTECTOMY (NPI# 1649421884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649421884 |
| Entity Type | Organization |
| Organization Name | D.B.A MOM'S MASTECTOMY |
| Practice Address |
415 N 66th St Suite 8 Lincoln NE 68505-2431 |
| Mailing Address |
415 N 66th St. Suite 8 Lincoln NE 68505 |
| Practice Telephone | 4024646001 |
| Practice Fax Number | 4024646669 |
| Mailing Telephone | 4024646001 |
| Mailing Fax Number | 4024646669 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | MISS JENNIFER LYNN HAWKINS (OWNER) |
| Authorized Official Telephone | 4024646001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NE | Suppliers |
| Street Address |
415 N 66TH ST SUITE 8 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68505-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737054 | Nebraska Scooter Mart LLC | Durable Medical Equipment & Medical Supplies | 415 N 66th St, Suite 1, Lincoln, NE 68505-2429 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
| 1841544087 | Lance Tyler Otto | Chiropractor | 8222 Holdrege St., Lincoln, NE 68505 | 2012-11-08 |
| 1750685186 | George Randy Jeffrey | Physical Therapist | 770 N Cotner, # 125, Lincoln, NE 68505 | 2010-12-28 |
| 1194970327 | Rebecca G Guittar | Dietitian, Registered | 1601 N. 84th St., Hy-vee, Inc, Lincoln, NE 68505 | 2008-12-02 |
| 1649470659 | Linc Care, A Joint Venture | Durable Medical Equipment & Medical Supplies | 1601 North 86th Street, Suite 200, Lincoln, NE 68505 | 2007-07-19 |
| 1235354820 | Professional Eyecare Gateway Inc. | Optometrist | 6100 O St #59, Lincoln, NE 68505 | 2007-04-17 |
| 1548391774 | Stanley Leonard Schulte | Chiropractor | 1777 N. 86th St, Ste 102, Lincoln, NE 68505 | 2007-03-08 |
| 1396871224 | Allison Joanne Vyhnalek | Licensed Practical Nurse | 630 N Cotner, Suite 204, Lincoln, NE 68505 | 2007-02-26 |
| 1053454124 | William Jeffrey Geisert | Optometrist | 6100 O St, Bldg #59, Lincoln, NE 68505 | 2007-02-15 |
| 1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
| Find all providers in zip 68505 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938892 | Louis F Olberding, Dds, PC | Prosthetic/Orthotic Supplier | 3901 Pine Lake Rd Ste 115, Lincoln, NE 68516-5427 | 2017-08-14 |
| 1144663253 | Physical Therapy Solutions PC | Prosthetic/Orthotic Supplier | 2130 S 17th St Ste 200, Lincoln, NE 68502-3750 | 2013-04-09 |
| 1528395670 | Active Scoliosiscare | Prosthetic/Orthotic Supplier | 5757 S. 34th St., Suite 300, Lincoln, NE 68516 | 2009-11-11 |
| 1184831349 | Lifestyles Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 6940 Van Dorn St Ste 101, Lincoln, NE 68506-2858 | 2007-05-17 |
| 1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
| 1437265626 | Helping Hands Physical Therapy PC | Prosthetic/Orthotic Supplier | 2801 Pine Lake Road, Suite K, Lincoln, NE 68516 | 2006-08-22 |
| 1841286556 | Triumph Home Health Supplies Inc. | Prosthetic/Orthotic Supplier | 3233 Cornhusker Hwy, Ste A, Lincoln, NE 68504-1586 | 2005-09-27 |
| 1720353980 | Premier O&p Inc. | Prosthetic/Orthotic Supplier | 2120 S 56th St, Suite 204, Lincoln, NE 68506-2118 | 2012-03-20 |
| 1851665244 | Brandon K Green | Prosthetic/Orthotic Supplier | 2120 S 56th St, Suite 204, Lincoln, NE 68506-2118 | 2012-03-01 |
| 1659541605 | Orthocare Orthopedic Services | Prosthetic/Orthotic Supplier | 4500 S 70th St, Ste 102, Lincoln, NE 68516-4283 | 2008-03-06 |
| Find all providers in LINCOLN | ||||
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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.