Carlson Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

CARLSON OPTICAL INC.

Practice address

513 S 13TH St
Omaha, NE 68102-2813

Phone

(402) 344-0219

Fax

(402) 341-4917

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Timothy John Carlson

Title

President

Phone

(402) 344-0219

Specialties & licenses 1

Addresses

Other names 1

• Commercial Optical Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim John Carlson

  • Optician
  • Omaha, NE
  • NPI 1750405635
  NPD (past)
• Dwayne F Sturtevant, OD

  • Optometrist
  • Omaha, NE
  • NPI 1972528560
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1124573712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S 13TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022813",
            "telephone_number": "402-344-0219",
            "fax_number": "402-341-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S 13TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022813",
            "telephone_number": "402-344-0219",
            "fax_number": "402-341-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-344-0219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commercial Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette Elaine Carlin
• Michael Joseph Carlisle, D.D.S.
• Tasha M Carlisle
• William Lee Carlisle, DDS
• Arenn Faye Carlos, MD
• Christine Marie Carlson Rahn, M.D.
• Abigail Grace Carlson
• Briahna Chanelle Carlson, APRN-NP
• Brianna Carlson
• Elena Carlson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.