Pacific Family Vision, Inc

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

NE 1164 Issued in NE

Legal business name

PACIFIC FAMILY VISION, INC

Practice address

15655 Pacific St
Omaha, NE 68118-2114

Phone

(402) 697-5122

Fax

(402) 697-5567

NPI assigned

Mar 23, 2007

Last updated

Sep 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Slade Lindquist, OD

Title

President

Phone

(402) 697-5122

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Kristin Goertz Bergstrom

  • Optometrist
  • Omaha, NE
  • NPI 1881528495
  NPD (past)
• Christine M Davis, OD

  • Optometrist
  • Shreveport, LA
  • NPI 1033182183
  NPD (past)
• Kyle Klute

  • Optometrist
  • Battle Creek, MI
  • NPI 1235556804
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1033236310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182114",
            "telephone_number": "402-697-5122",
            "fax_number": "402-697-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182114",
            "telephone_number": "402-697-5122",
            "fax_number": "402-697-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FAMILY VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "LINDQUIST",
        "authorized_official_first_name": "SLADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-697-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NE",
            "license": "NE 1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Pacgmogda
• Malena R Pachano
• Artem Pachikov
• Howard D Pachman, D.P.M.
• Joseph Michael Pachunka, MD
• Pacific Springs Dental LLC
• Pacific Springs Physical Therapy, PC
• Pacific Surgery Center LLC (Pacific Surgery Center East)
• Pacific Surgery Center LLC (Pacific Surgery Center East)
• Pacific Surgery Center, LLC

• 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 Sep 3, 2010; 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.