Individual provider Active NPI

William Jeffrey Geisert, OD

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1053454124
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
944 Issued in NE
Practice address
6100 O St
BLDG #59
Lincoln, NE 68505
Phone
(402) 467-3423
Fax
(402) 467-3425
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 944 NE Primary

Addresses

Primary practice location

6100 O St
BLDG #59
Lincoln, NE 68505

Mailing address

8250 Old Cheney Rd Ste a
Lincoln, NE 68516-3533
Phone (402) 817-5626

Other practice location 1

8250 Old Cheney Rd Ste A
Lincoln, NE 68516-3533
Phone (402) 817-5626

Other practice location 2

12744 Westport Pkwy Ste 1E
LA Vista, NE 68138-4017
Phone (402) 502-1228

Other identifiers 1

IdentifierTypeStateIssuer
06718OtherNEBXBS

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
I20071120000339 NE Practitioner - Optometry 9537257894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare Oakview, IncGroup PAC ID 0446229975, 2 clinicians
Proeye Group Gateway, P.C.Group PAC ID 5597854174, 2 clinicians

Practice addresses (Care Compare)

12744 Westport Pkwy
Suite 1E
La Vista, NE 68138-4017
Phone (402) 502-1228

8250 Old Cheney Rd
Lincoln, NE 68516-3532
Phone (402) 817-5626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare Gateway Inc. Optometrist Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1053454124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 OLD CHENEY RD STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163533",
            "telephone_number": "402-817-5626",
            "fax_number": "402-817-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 O ST",
            "address_2": "BLDG #59",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68505",
            "telephone_number": "402-467-3423",
            "fax_number": "402-467-3425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 Old Cheney Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685163533",
            "country_code": "US",
            "telephone_number": "402-817-5626",
            "fax_number": "402-817-5631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12744 Westport Pkwy Ste 1E",
            "address_purpose": "LOCATION",
            "city": "LA Vista",
            "state": "NE",
            "postal_code": "681384017",
            "country_code": "US",
            "telephone_number": "402-502-1228",
            "fax_number": "402-502-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISERT",
        "first_name": "WILLIAM",
        "middle_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "06718",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.