NPIMap

Organization Active NPI

Millard Family Eyecare, P.C.

Doing business as For Your Eyes Only

  • Optometrist
  • Omaha, NE
National Provider Identifier
1023522661
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MILLARD FAMILY EYECARE, P.C.
Doing business as
For Your Eyes Only
Practice address
2510 S 171St CT
Omaha, NE 68130-2394
Phone
(402) 330-3063
Fax
(402) 334-4418
NPI assigned
Nov 17, 2017
Last updated
Nov 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLARD FAMILY EYECARE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
David MichaelsNPI 1477605541
Title
President
Phone
(402) 884-6841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2510 S 171St CT
Omaha, NE 68130-2394

Mailing address

12660 Q St
Omaha, NE 68137-3332
Phone (402) 896-3300

Other names 1

  • For Your Eyes Only Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000414 NE Part B Supplier - Clinic/Group Practice 5991727729 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Millard Family Eyecare PC

Locations

12660 Q St
Omaha, NE 68137
Phone (402) 884-6841

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1023522661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373332",
            "telephone_number": "402-896-3300",
            "fax_number": "402-896-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 171ST CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302394",
            "telephone_number": "402-330-3063",
            "fax_number": "402-334-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLARD FAMILY EYECARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLARD FAMILY EYECARE, P.C.",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-884-6841"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Your Eyes Only",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.