NPIMap

Individual provider Active NPI

Kathleen S. Bisanar, O.D.

  • Optometrist
  • La Vista, NE
National Provider Identifier
1144518507
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1029 Issued in NE
Practice address
9739 Giles Rd
La Vista, NE 68128-2930
Phone
(402) 963-0831
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1029 NE Primary

Addresses

Primary practice location

9739 Giles Rd
La Vista, NE 68128-2930

Mailing address

9739 Giles Rd
La Vista, NE 68128-2930
Phone (402) 963-0831

Other names 1

  • Kathleen S. Schaffer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
See Vision Services, LLC Optometrist PastSince Sep 5, 2023 Accepting new patients
Omegavision PC Optometrist PastSince Dec 1, 2006 Accepting new patients

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": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451692800000",
    "number": "1144518507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9739 GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-963-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9739 GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-963-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISANAR",
        "first_name": "KATHLEEN",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2016-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SCHAFFER",
            "middle_name": "S.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.