Active NPI
Andrea Jae Carda, O.D.
- Optometrist
- Plattsmouth, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1361
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2506 | IA | MD | Optometrist |
| 1361 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellevue Family Eyecare Center PC | Optometrist | Current | Accepting new patients |
| Acuity Vision Care, P.C. | Optometrist | Current | Accepting new patients |
| John E Bateman O D P C | Optometrist | Current | Accepting new patients |
| Tiburon Family Eyecare, PC | Optometrist | Past | 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.
-
- Optometrist
- Bellevue, NE
- NPI 1568151108
-
- Optometrist
- Bellevue, NE
- NPI 1316133556
-
- Optometrist
- Gretna, NE
- NPI 1285971994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.