Kyle John Niemann, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1585 Issued in NE

Practice address

1104 S 76TH Ave Ste 2
Omaha, NE 68124-1559

Phone

(402) 955-2020

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Nova Southeastern College of Osteo Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gretna Eye Care PCGroup PAC ID 5092718288, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gretna Eye Care, P.C.

  dba Gretna Vision Source

  • Optometrist
  • Gretna, NE
  • NPI 1134142532
  Medicare reassignment Care Compare group NPD
• Kyle Niemann, O.D., P.C.

  dba Visual Eyes Optical

  • Optometrist
  • Omaha, NE
  • NPI 1457068173
  Medicare reassignment NPD Authorized official
• Kate E Hansen DC PC

  • Chiropractor
  • Omaha, NE
  • NPI 1912956509
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1083334106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 N 161ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166414",
            "telephone_number": "402-212-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S 76TH AVE STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241559",
            "telephone_number": "402-955-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "KYLE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nieman
• Adriana Niemann, PLMHP
• Douglas Francis Niemann, M.D.
• Jessica M Niemann, PTA
• Kathy Ann Niemann, OPTICIAN
• Tom Niemann, PT
• Abigail Niemeier
• Amanda M Niemeyer, CNA, BLS, CMA
• Valerie Niemeyer
• Stacy Lee Niemi, APRN

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.

Verify at the official NPI Registry.