Organization Active NPI

Proeye Group Southpointe, P.C.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1073792040
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
944 Issued in NE
Legal business name
PROEYE GROUP SOUTHPOINTE, P.C.
Practice address
2950 Pine Lake Rd
Suite H
Lincoln, NE 68516-6019
Phone
(402) 420-6109
Fax
(402) 420-2607
NPI assigned
Oct 26, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. William Jeffery Geisert, O.D.
Title
Optometrist/Owner
Phone
(402) 420-6109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 944 NE Primary

Addresses

Primary practice location

2950 Pine Lake Rd
Suite H
Lincoln, NE 68516-6019

Mailing address

2950 Pine Lake Rd
Suite H
Lincoln, NE 68516-6019
Phone (402) 420-6109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1073792040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 PINE LAKE RD",
            "address_2": "SUITE H",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166019",
            "telephone_number": "402-420-6109",
            "fax_number": "402-420-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 PINE LAKE RD",
            "address_2": "SUITE H",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166019",
            "telephone_number": "402-420-6109",
            "fax_number": "402-420-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEYE GROUP SOUTHPOINTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GEISERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "402-420-6109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.