Individual provider Active NPI

Andrea Jae Carda, O.D.

  • Optometrist
  • Plattsmouth, NE
National Provider Identifier
1033340724
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1361 Issued in NE
Practice address
2380 8TH Ave Ste 4
Plattsmouth, NE 68048-2367
Phone
(402) 296-2200
Fax
(402) 296-6055
NPI assigned
Jul 29, 2009
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2506 IA
Optometrist 152W00000X 1361 NE Primary

Addresses

Primary practice location

2380 8TH Ave Ste 4
Plattsmouth, NE 68048-2367

Mailing address

2380 8TH Ave Ste 4
Plattsmouth, NE 68048-2367
Phone (402) 296-2200

Other names 1

  • Andrea Jae Wittrock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130521000419 NE Practitioner - Optometry 9931239845 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John E Bateman O D P CGroup PAC ID 7214053529, 3 clinicians
Acuity Vision Care PCGroup PAC ID 1658710983, 3 clinicians

Practice addresses (Care Compare)

2380 8TH Ave
Suite 4
Plattsmouth, NE 68048-2367
Phone (402) 296-2200

3503 Samson Way
Suite 106
Bellevue, NE 68123-4303
Phone (402) 999-4340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2506IAMDOptometrist
1361NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Family Eyecare Center PC Optometrist CurrentSince Mar 2, 2013 Accepting new patients
Acuity Vision Care, P.C. Optometrist CurrentSince Jun 6, 2024 Accepting new patients
John E Bateman O D P C Optometrist CurrentSince Jun 13, 2017 Accepting new patients
Tiburon Family Eyecare, PC Optometrist PastSince Mar 1, 2013 Accepting new patients

Locations

705 N 17th Ave
Ashland, NE 68003
Phone (402) 944-2201

11513 S 42nd St
Ste 100
Bellevue, NE 68123
Phone (402) 292-0396

3503 Samson Way
Ste 106
Bellevue, NE 68123
Phone (402) 999-4340

2380 8th Ave
Ste 4
Plattsmouth, NE 68048
Phone (402) 296-2200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1033340724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 8TH AVE STE 4",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482367",
            "telephone_number": "402-296-2200",
            "fax_number": "402-296-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 8TH AVE STE 4",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482367",
            "telephone_number": "402-296-2200",
            "fax_number": "402-296-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDA",
        "first_name": "ANDREA",
        "middle_name": "JAE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2506",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WITTROCK",
            "middle_name": "JAE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plattsmouth, NE

Sources for this page

Verify at the official NPI Registry.