NPIMap

Organization Active NPI

Heartland Eye Consultants LLC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1003821422
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
927 Issued in NE
Legal business name
HEARTLAND EYE CONSULTANTS LLC
Practice address
9900 Nicholas St Ste 250
Omaha, NE 68114-2261
Phone
(402) 493-6500
Fax
(402) 493-4370
NPI assigned
Jul 31, 2006
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Holly E TernusNPI 1659627875
Title
Owner
Phone
(402) 493-6500

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
Optometrist 152W00000X 927 NE Primary

Addresses

Primary practice location

9900 Nicholas St Ste 250
Omaha, NE 68114-2261

Mailing address

9900 Nicholas St Ste 250
Omaha, NE 68114-2261
Phone (402) 493-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060824000074 NE Part B Supplier - Clinic/Group Practice 3577566983 Receives reassigned benefits from 12 practitioners
Practice locations: Omaha, NE
O20171018000821 NE DME Supplier - Physician - Optometrist 3577566983 Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1078535Heartland Eye Consultants9900 Nicholas Street Suite 250, Omaha, NE 68114Certificate of waiverJan 10, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Heartland Eye Consultants LLC9900 Nicholas St, Omaha, NE 68114-2261(402) 493-6500 Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 11, 2006

National Provider Directory

National Provider Directory

Locations

9900 Nicholas St
Ste 250
Omaha, NE 68114
Phone (402) 493-4370

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1003821422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-6500",
            "fax_number": "402-493-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-6500",
            "fax_number": "402-493-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EYE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "TERNUS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-493-6500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.