Grand Island Optical PC
A Medicare group practice based in Aurora, NE: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799752150), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5799752150
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE
- Enrollments
- 3
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040914001318 | NE | Part B Supplier - Clinic/Group Practice | 1891771051 |
| O20100930093272 | NE | DME Supplier - Physician - Optometrist | 1891771051 |
| O20100930010298 | NE | DME Supplier - Physician - Optometrist | 1942520614 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Grand Island Optical PC
- Eyewear Supplier
- Grand Island, NE
- NPI 1891771051
-
Grand Island Optical PC
- Optometrist
- Aurora, NE
- NPI 1942520614
Practice locations
- Grand Island, NE2
- Aurora, NE2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).
-
Tyler A Hanson, OD
- Optometrist
- Grand Island, NE
- NPI 1104267103
-
Christa Mary Hunnicutt, O.D.
- Optometrist
- Aurora, NE
- NPI 1982832887
-
William Kusek, O.D.
- Optometrist
- Tucson, AZ
- NPI 1912350687
-
Dawn Michelle Langford, OD
- Optometrist
- Grand Island, NE
- NPI 1639156144
-
Jason James Langford, OD
- Optometrist
- Grand Island, NE
- NPI 1043296114
-
Emily Layne, OD
- Optometrist
- Grand Island, NE
- NPI 1588427751
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.