Individual provider Active NPI

Janelle Wieskamp, OD

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1124704267
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1613 Issued in NE
Practice address
400 N 48TH St
Lincoln, NE 68504-3419
Phone
(402) 464-1000
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1613 NE Primary

Addresses

Primary practice location

400 N 48TH St
Lincoln, NE 68504-3419

Mailing address

7424 S 33Rd St
Lincoln, NE 68516-5762

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000869 NE Practitioner - Optometry 3375084619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Eye Care LLCGroup PAC ID 7416397872, 3 clinicians

Practice addresses (Care Compare)

3920 Crescent Dr
Lincoln, NE 68516-5828
Phone (402) 265-4442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1613NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Eye Care LLC Optometrist CurrentSince Nov 7, 2024 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jun 25, 2023 Accepting new patients

Locations

3920 Crescent Dr
Lincoln, NE 68516
Phone (402) 265-4442

Organizations & group practices 2

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1124704267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 S 33RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043419",
            "telephone_number": "402-464-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESKAMP",
        "first_name": "JANELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.