Individual provider Active NPI

Gregory Eugene Haskins, MD

  • Ophthalmology Physician
  • Fremont, NE
National Provider Identifier
1114920543
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15441 Issued in NE
Practice address
2827 N Clarkson St
Fremont, NE 68025-7714
Phone
(402) 721-7222
Fax
(402) 721-2473
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15441 NE Primary

Addresses

Primary practice location

2827 N Clarkson St
Fremont, NE 68025-7714

Mailing address

2827 N Clarkson St
Fremont, NE 68025-7714
Phone (402) 721-7222

Other identifiers 1

IdentifierTypeStateIssuer
47066963700MedicaidNE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000889 NE Practitioner - Ophthalmology 7012004542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15441NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Care, PC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients

Locations

2827 N Clarkson St
Fremont, NE 68025
Phone (402) 721-2473

4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599

13500 California St
Omaha, NE 68154

101 W Decatur St
West Point, NE 68788
Phone (402) 372-3266

Organizations & group practices 1

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1114920543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257714",
            "telephone_number": "402-721-7222",
            "fax_number": "402-721-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257714",
            "telephone_number": "402-721-7222",
            "fax_number": "402-721-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "GREGORY",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "15441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47066963700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.