OPTICAL GALLERY LLC (NPI# 1952544215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952544215 |
| Entity Type | Organization |
| Organization Name | OPTICAL GALLERY LLC |
| Other Organization Name | OPTICAL GALLERY |
| Practice Address |
1550 S Coddington Ave Suite V Lincoln NE 68522-4402 |
| Practice Telephone | 4024700074 |
| Practice Fax Number | 4022615855 |
| Mailing Telephone | 4024700074 |
| Mailing Fax Number | 4022615855 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2012-03-29 |
| Authorized Official Name | DR. KIMBERL;Y A RAYMOND (OPTOMETRIST AND OWNER) |
| Authorized Official Telephone | 4024700074 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025701100 | 05 |
| Other Name | Type Code |
|---|---|
| OPTICAL GALLERY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376716555 | Optical Gallery LLC | Eyewear Supplier (Equipment, not the service) | 2205 N 6th St, Beatrice, NE 68310-1264 | 2008-04-08 |
| Street Address |
1550 S CODDINGTON AVE SUITE V |
| City | LINCOLN |
| State | NE |
| Zip Code | 68522-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640203 | B & R Stores, Inc | Pharmacy | 1550 S Coddington Ave, Lincoln, NE 68522-4402 | 2006-08-24 |
| 1023639705 | Jessica Kardell | Pharmacist | 1550 S Coddington Ave, Lincoln, NE 68522-4402 | 2020-05-04 |
| 1871809491 | Jodi Day | Dentist | 1550 S Coddington Ave, Suite F, Lincoln, NE 68522-4402 | 2010-08-19 |
| 1740503739 | Coddington Physical Therapy, LLC | Physical Therapist | 1550 S Coddington Ave, Suite C, Lincoln, NE 68522-4402 | 2010-03-05 |
| 1992975270 | Tracy Lea Bender | Occupational Therapist | 1550 S Coddington Ave, Suite C, Lincoln, NE 68522-4402 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356867535 | Claire Marie Retka | Speech-Language Pathologist | 2323 S Coddington Ave., Lincoln, NE 68522 | 2017-08-18 |
| 1558745851 | Joelle Marie Vogltance | Nurse Practitioner | 600 West E. Street, Lincoln, NE 68522 | 2015-07-16 |
| 1205264231 | Coddington Medical Family Practice | Clinic/Center | 1336 West A Street, Suite A, Lincoln, NE 68522 | 2013-10-30 |
| 1376686303 | Rajeev Chaturvedi | Psychiatry & Neurology | West Prospector Place & South Folsom Streets, Dhhs, Lincoln, NE 68522 | 2007-02-15 |
| 1982606703 | Louise Stanton Stone | Counselor | Folson & W Prospector Streets, Lincoln, NE 68522 | 2005-08-11 |
| 1619526894 | Resilient Mind Counseling | Clinic/Center | 2554 Sw 19th St, Lincoln, NE 68522 | 2019-09-10 |
| 1437688868 | Echo L Kopplin | Physician Assistant | 1336 W A St, Lincoln, NE 68522 | 2017-06-08 |
| 1043400807 | Developmental Services of Nebraska, Inc. | Community/Behavioral Health | 2610 W M Ct, Lincoln, NE 68522-1006 | 2007-07-27 |
| 1689044802 | Tiffany Eisenbraun | Counselor | 2610 W M Ct, Lincoln, NE 68522-1006 | 2015-09-30 |
| 1003987736 | Michele Yvonne Wilson | Counselor | 2210 W Laguna Rd, Lincoln, NE 68522-1153 | 2006-11-13 |
| Find all providers in zip 68522 | ||||
| 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 |
|---|---|---|---|---|
| 1841856234 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2801 Pine Lake Rd Ste J, Lincoln, NE 68516-6041 | 2019-05-12 |
| 1679921720 | Statton Optical | Eyewear Supplier (Equipment, not the service) | 4645 Normal Blvd Ste 132, Lincoln, NE 68506-5823 | 2016-05-31 |
| 1790933083 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 3400 North 85th St., Lincoln, NE 68507 | 2008-08-29 |
| 1225219751 | Eyeworks Inc | Eyewear Supplier (Equipment, not the service) | 1101 S 70th St Ste 200, Lincoln, NE 68510-4293 | 2007-11-27 |
| 1427239672 | Modern Eyecare Inc. | Eyewear Supplier (Equipment, not the service) | 1650 S 70th St Ste 201, Lincoln, NE 68506-1569 | 2007-11-15 |
| 1740480433 | Heartland Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1012 N 27th St, Lincoln, NE 68503-1802 | 2007-07-20 |
| 1568592525 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5555 'o' Street, Lincoln, NE 68510 | 2007-03-07 |
| 1447386685 | Vision Associates Inc | Eyewear Supplier (Equipment, not the service) | 125 S 66th St, Lincoln, NE 68510-2302 | 2007-02-24 |
| 1083760847 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2950 Pine Lake Rd Ste H, Lincoln, NE 68516-6020 | 2007-01-26 |
| 1245396829 | Vision Associates Inc | Eyewear Supplier (Equipment, not the service) | 1201 O St, Suite 100, Lincoln, NE 68508-1420 | 2006-12-28 |
| 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.