KAYLYN R JACKMAN (NPI# 1871590778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871590778 |
| Entity Type | Individual |
| Full Name | KAYLYN R JACKMAN |
| Credential | OD |
| Practice Address |
1710 S 70th St Lincoln NE 68506-1676 |
| Mailing Address |
1710 S 70th St Po Box 6068 Lincoln NE 68506-1676 |
| Practice Telephone | 4024849000 |
| Practice Fax Number | 4024834223 |
| Mailing Telephone | 4024849000 |
| Mailing Fax Number | 4024834223 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 991 | NE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE SHIELD | 06909 | 01 |
| NE | 10025619800 | 05 | |
| NE | RAILROAD MEDICARE | 410039754 | 01 |
| Street Address |
1710 S 70TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930433 | Jay Alan Sveen | Nurse Anesthetist, Certified Registered | 1710 S 70th St, Ste 200, Lincoln, NE 68506-1677 | 2005-05-23 |
| 1952788481 | Samuel Thomsen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2015-05-05 |
| 1164831491 | Chanda Marie Small | Pharmacist | 1710 S 70th St, Lincoln, NE 68506 | 2014-08-12 |
| 1497985642 | Jordan James Rixen | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-07-22 |
| 1083854699 | David Pan | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2009-02-23 |
| 1265690598 | Michelle L. White | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2008-05-22 |
| 1861666463 | Daniel Andrew Chruscicki | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2008-04-15 |
| 1730216326 | Leanne Renee Carlson | Physician Assistant | 1710 S 70th St, Lincoln, NE 68506-1676 | 2007-02-28 |
| 1982770004 | Mary Linda Loker | Nurse Anesthetist, Certified Registered | 1710 S 70th St, Lincoln Surigical Hospital, Lincoln, NE 68506-1676 | 2006-11-28 |
| 1144217092 | David W. Blodgett | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2005-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922642255 | Daniel & Max, LLC | Optometrist | 4320 N 27th St, Lincoln, NE 68521-4108 | 2019-10-30 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1154984177 | John H Mcdougall Od PC | Optometrist | 2917 Pine Lake Rd Ste B, Lincoln, NE 68516-6032 | 2019-04-16 |
| 1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1427578681 | Douglass R. Fruin | Optometrist | 400 N 48th St, Lincoln, NE 68504-3419 | 2017-06-20 |
| 1326317082 | Malbar Vision | Optometrist | 3200 O St Ste A, Lincoln, NE 68510-1510 | 2011-12-23 |
| 1336459312 | Seth Lambert | Optometrist | 5555 O St, Lincoln, NE 68510-2131 | 2010-10-08 |
| 1861706509 | Stephen Philip Gildersleeve | Optometrist | 3200 O St., Lincoln, NE 68510 | 2010-08-05 |
| 1174835391 | Shannon Boone | Optometrist | 3415 E Pershing Rd, Lincoln, NE 68502-4836 | 2010-07-02 |
| 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.