Nebraska Visual Integration Center

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1362 Issued in NE

Legal business name

NEBRASKA VISUAL INTEGRATION CENTER

Practice address

11905 P St
Ste. #106
Omaha, NE 68137-2237

Phone

(402) 502-0043

NPI assigned

Dec 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tanner Calvin Gates, O.D.

Title

Optometrist

Phone

(402) 502-0043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1124562699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 P ST",
            "address_2": "STE. #106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 P ST",
            "address_2": "STE. #106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372237",
            "telephone_number": "402-502-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA VISUAL INTEGRATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-502-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Therapy Optometrist in Omaha, NE
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• Vision Therapy Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.