Superior Vision PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1093 Issued in NE

Legal business name

SUPERIOR VISION PC

Practice address

358 Central Ave
Superior, NE 68978

Phone

(402) 879-3233

Fax

(402) 879-3378

NPI assigned

Nov 24, 2008

Last updated

Jun 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy W. McMeen, O.D.NPI 1790774347

Title

Owner

Phone

(402) 879-3233

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy W McMeen, O.D.

  • Optometrist
  • Superior, NE
  • NPI 1790774347
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1144475740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 CENTRAL AVE",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "68978",
            "telephone_number": "402-879-3233",
            "fax_number": "402-879-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 CENTRAL AVE",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "68978",
            "telephone_number": "402-879-3233",
            "fax_number": "402-879-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "MCMEEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-879-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263170A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICARE",
            "identifier": "410033190",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "49839",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NEBRASKA",
            "identifier": "36742",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Behavioral Services
• Jett Stenson, M.S., CCC-SLP
• Rebekka Stephens
• Superior Pharmacy, Inc.
• Superior Physical Therapy LLC
• Stephanie Svoboda, D.D.S
• Teachworth Chiropractic LLC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Superior)
• The Evangelical Lutheran Good Samaritan Society (Victorian Legacy)
• The Mary Lanning Memorial Hospital Association (Mary Lanning Hospice)

• Eyewear Supplier in Superior, NE
• Providers in Superior, NE by specialty
• Eyewear Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.