FREMONT EYE ASSOCIATES, PC (NPI# 1669585196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669585196 |
Entity Type | Organization |
Organization Name | FREMONT EYE ASSOCIATES, PC |
Other Organization Name | 28TH STREET OPTICAL |
Practice Address |
540 E 28th St Fremont NE 68025-2385 |
Mailing Address |
2827 N Clarkson St Fremont NE 68025-7714 |
Practice Telephone | 4027217222 |
Practice Fax Number | 4027212473 |
Mailing Telephone | 4027217222 |
Mailing Fax Number | 4027212473 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. GREGORY E HASKINS (PRESIDENT) |
Authorized Official Telephone | 4027217222 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
15441 | NE | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
28th Street Optical | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457467664 | Fremont Eye Associates, PC | Technician/Technologist | 2827 N Clarkson St, Fremont, NE 68025-7714 | 2006-08-21 |
Street Address |
540 E 28TH ST |
City | FREMONT |
State | NE |
Zip Code | 68025-2385 |
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1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
Find all providers in zip 68025 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1326383506 | Shoreline Optical, LLC | Technician/Technologist | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2012-11-29 |
1518188291 | 3n Optical, Inc | Technician/Technologist | 101 Fremont Hub Courtyard, Fremont, CA 94538-7701 | 2007-05-01 |
1245313584 | Wal-mart Stores, Inc. | Technician/Technologist | 3010 E 23rd St, Fremont, NE 68025-2479 | 2006-10-23 |
1386726206 | Wal-mart Stores East, Lp | Technician/Technologist | 7083 W 48th St, Fremont, MI 49412-9508 | 2006-10-19 |
1902987043 | Wal-mart Stores, Inc. | Technician/Technologist | 44009 Osgood Rd, Fremont, CA 94539-6403 | 2006-10-17 |
1255341210 | Wal-mart Stores East, Lp | Technician/Technologist | 2052 N State Route 53, Fremont, OH 43420-8628 | 2006-08-09 |
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1992033419 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8650 S 71st Plz, Papillion, NE 68133-2141 | 2009-11-20 |
1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
1184849077 | William B Athey | Technician/Technologist | 3808 28th Ave, Suite 1a, Kearney, NE 68845-1288 | 2007-04-16 |
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 |
1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
1235144650 | Monte Von Adams | Technician/Technologist | 512 Bell St, Beatrice, NE 68310-4445 | 2006-07-31 |
1780221515 | Fashion Forward Optical | Technician/Technologist | 4910 Dodge St Ste 107, Omaha, NE 68132-2978 | 2019-11-27 |
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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.