Hastings Vision Clinic, P.C.

Key facts

NPI

1013084409

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

952 (NE)

Legal business name

HASTINGS VISION CLINIC, P.C.

Practice address

2119 W 12TH St
Hastings, NE 68901-3605

Phone

(402) 462-8816

Fax

(402) 462-8050

NPI assigned

Nov 29, 2006

Organization subpart

No

Authorized official

Name

Dr. Richard J Arneson, O.D. NPI 1710942842

Title

Owner

Phone

(402) 462-8816

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

Practitioners 5

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

• Richard Joseph Arneson, OD Optometrist · Hastings, NE · NPI 1710942842
  Medicare reassignment Care Compare group NPD Authorized official NE · OPTOMETRIST
• Eric D Arneson, O.D. Optometrist · Hastings, NE · NPI 1760770945
  Medicare reassignment Care Compare group NPD NE · OPTOMETRIST
• Jeannette Fast Personal Care Attendant · Hastings, NE · NPI 1225825169
  NPD
• David J McBride, OD Optometrist · Portland, OR · NPI 1538278676
  NPD (past) OPTOMETRIST
• Chelsea Nicole Territo, OD Optometrist · Beaverton, OR · NPI 1003475625
  NPD (past) OPTOMETRIST

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NE

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• McBride Vision Clinic, P.C. Former legal business name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2012.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1013084409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013605",
            "telephone_number": "402-462-8816",
            "fax_number": "402-462-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013605",
            "telephone_number": "402-462-8816",
            "fax_number": "402-462-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS VISION CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "ARNESON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-462-8816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "952",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McBride Vision Clinic, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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All providers in Hastings, NE · Optometrist in Nebraska