NPIMap

Organization Active NPI

Proeye Group Gateway, P.C.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1003004813
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
944 Issued in NE
Legal business name
PROEYE GROUP GATEWAY, P.C.
Practice address
8250 Old Cheney Rd Ste a
Lincoln, NE 68516-3533
Phone
(402) 817-5626
Fax
(402) 817-5631
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Jeffrey Geisert, O.D.NPI 1053454124
Title
Optometrist/Owner
Phone
(402) 730-4842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 944 NE Primary

Addresses

Primary practice location

8250 Old Cheney Rd Ste a
Lincoln, NE 68516-3533

Mailing address

8250 Old Cheney Rd Ste a
Lincoln, NE 68516-3533
Phone (402) 817-5626

Other names 1

  • ProEye Vision Center Lincoln Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000865 NE Part B Supplier - Clinic/Group Practice 5597854174 Receives reassigned benefits from 2 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

8250 Old Cheney Rd
Ste A
Lincoln, NE 68516
Phone (402) 817-5626

39 Gtwy Mall Ste 59
Ste 59
Lincoln, NE 68505
Phone (402) 467-3423

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1003004813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 OLD CHENEY RD STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163533",
            "telephone_number": "402-817-5626",
            "fax_number": "402-817-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 OLD CHENEY RD STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163533",
            "telephone_number": "402-817-5626",
            "fax_number": "402-817-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEYE GROUP GATEWAY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2021-01-12",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "GEISERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "402-730-4842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProEye Vision Center Lincoln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.