Active NPI
Camilla Ruth Parson, MD
- Ophthalmology Physician
- Omaha, NE
National Provider Identifier
1003818295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 17084
- Practice address
- 16820 Frances St
Ste 100
Omaha, NE 68130 - Phone
- (402) 933-6600
- Fax
- (402) 933-7123
- NPI assigned
- Jun 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 17084 | NE | Primary |
Addresses
Primary practice location
16820 Frances St
Ste 100
Omaha, NE 68130
Mailing address
16820 Frances St
Ste 100
Omaha, NE 68130
Phone (402) 933-6600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025802200 | Medicaid | NE | |
| 2944058 | Medicaid | IA | |
| 10025058900 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Past | Accepting new patients | |
| Ilumin, LLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1003818295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16820 FRANCES ST",
"address_2": "STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "68130",
"telephone_number": "402-933-6600",
"fax_number": "402-933-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16820 FRANCES ST",
"address_2": "STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "68130",
"telephone_number": "402-933-6600",
"fax_number": "402-933-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSON",
"first_name": "CAMILLA",
"middle_name": "RUTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NE",
"license": "17084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025802200",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2944058",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025058900",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.