Organization Active NPI

Webb Eyecare PC

  • Optometrist
  • Scottsbluff, NE
National Provider Identifier
1003215898
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1156 Issued in NE
Legal business name
WEBB EYECARE PC
Practice address
1602 W 42ND St
Scottsbluff, NE 69361-4746
Phone
(308) 635-0800
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Jason Webb, ODNPI 1710944483
Title
President
Phone
(308) 635-0800

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1156 NE Primary

Addresses

Primary practice location

1602 W 42ND St
Scottsbluff, NE 69361-4746

Mailing address

1602 W 42ND St
Scottsbluff, NE 69361-4746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150123000555 NE Part B Supplier - Clinic/Group Practice 5092039925 Receives reassigned benefits from 3 practitioners
Practice locations: Alliance, NE; Bridgeport, NE

National Provider Directory

National Provider Directory

Locations

515 Niobrara Ave
Alliance, NE 69301
Phone (308) 262-1252

Practitioners & affiliated clinicians

Practitioners 5

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1003215898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 42ND ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614746",
            "telephone_number": "308-635-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-635-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.