Organization Active NPI

Jennifer Brammeier, P.C.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1033485826
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1100 Issued in NE
Legal business name
JENNIFER BRAMMEIER, P.C.
Practice address
12850 L St
Omaha, NE 68137-2078
Phone
(402) 697-1852
Fax
(402) 697-4834
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Jennifer Lynn Brammeier, O.D.NPI 1003923855
Title
President
Phone
(402) 321-6496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1100 NE Primary

Addresses

Primary practice location

12850 L St
Omaha, NE 68137-2078

Mailing address

17610 Jefferson St
Omaha, NE 68135-3028
Phone (402) 321-6496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000732 NE Part B Supplier - Clinic/Group Practice 5698937324 Receives reassigned benefits from 1 practitioner
Practice locations: La Vista, NE; Omaha, NE

National Provider Directory

National Provider Directory

Locations

12515 Portside Pkwy
La Vista, NE 68128
Phone (402) 378-7408

Practitioners & affiliated clinicians

Practitioners 1

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": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1033485826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 JEFFERSON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353028",
            "telephone_number": "402-321-6496",
            "fax_number": "402-697-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372078",
            "telephone_number": "402-697-1852",
            "fax_number": "402-697-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BRAMMEIER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BRAMMEIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-321-6496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2012; 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.