Hospital Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HOSPITAL EYE ASSOCIATES LLC

Practice address

601 N 30TH St
Ste 3700
Omaha, NE 68131-2137

Phone

(402) 280-4102

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Robert Stephen Vandervort, OD

Title

Member

Phone

(402) 493-6500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013107929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST",
            "address_2": "STE 275",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249",
            "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": "601 N 30TH ST",
            "address_2": "STE 3700",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "VANDERVORT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "402-493-6500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013107929",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025541400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen L Hosman, M.D.
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• Ryley Hoss
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• Brooklyn Hosterman
• Patricia Bitters Hotaling, DNP, APRN-CNS
• Amanda Hotovy

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.