NPIMap

Organization Active NPI

Skyline Vision Care, LLC

  • Optometrist
  • Elkhorn, NE
National Provider Identifier
1013451723
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1459 Issued in NE
Legal business name
SKYLINE VISION CARE, LLC
Practice address
1311 S 204TH St
Elkhorn, NE 68022-2880
Phone
(402) 946-2225
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Dr. Allison Walz-Tarkowski, O.D.
Title
President/ Optometrist
Phone
(312) 504-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1459 NE Primary

Addresses

Primary practice location

1311 S 204TH St
Elkhorn, NE 68022-2880

Mailing address

16417 Audrey St
Omaha, NE 68136-3033
Phone (402) 946-2225

National Provider Directory

National Provider Directory
Tax ID family
Harrison Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1311 S 204th St
Elkhorn, NE 68022
Phone (402) 946-2225

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1013451723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16417 AUDREY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681363033",
            "telephone_number": "402-946-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S 204TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222880",
            "telephone_number": "402-946-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "WALZ-TARKOWSKI",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "312-504-6477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.