Individual provider Active NPI

Jennifer Lynn Brammeier, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1003923855
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1100 Issued in NE
Practice address
12850 L Street
Walmart Vision Center
Omaha, NE 68137
Phone
(402) 697-1852
Fax
(402) 697-4834
NPI assigned
Aug 25, 2006
Last updated
Oct 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1100 NE Primary

Addresses

Primary practice location

12850 L Street
Walmart Vision Center
Omaha, NE 68137

Mailing address

17610 Jefferson Street
Omaha, NE 68135
Phone (402) 991-5776

Other names 1

  • Jennifer Lynn Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000157 NE Practitioner - Optometry 9032116181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12515 Portside Pkwy
La Vista, NE 68128-8224
Phone (402) 378-7413

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1100NEMDMental Health Counselor
02207IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Brammeier, P.C. Optometrist CurrentSince Mar 12, 2012 Accepting new patients
MK Optical Enterprises, Inc. Optometrist Past Accepting new patients
Posner Enterprises, Inc. Optometrist Past Accepting new patients

Locations

12515 Portside Pkwy
La Vista, NE 68128
Phone (402) 378-7408

12850 L St
Omaha, NE 68137
Phone (402) 697-1742

Networks

  • IA HMO C-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • IA HMO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1003923855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 JEFFERSON STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68135",
            "telephone_number": "402-991-5776",
            "fax_number": "402-697-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 L STREET",
            "address_2": "WALMART VISION CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68137",
            "telephone_number": "402-697-1852",
            "fax_number": "402-697-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMMEIER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BARNES",
            "middle_name": "LYNN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.