Organization Active NPI

Eol Studio 1

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1154094118
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EOL STUDIO 1
Doing business as
Eyes on Lincoln Vision Studio 1
Practice address
4200 Lucile Dr Ste 300
Lincoln, NE 68506-6032
Phone
(402) 475-9113
Fax
(402) 475-8084
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Cristina Long
Title
Operations Manager
Phone
(402) 475-9113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4200 Lucile Dr Ste 300
Lincoln, NE 68506-6032

Mailing address

4200 Lucile Dr Ste 300
Lincoln, NE 68506-6032
Phone (402) 475-9113

Other names 1

  • Eyes on Lincoln Vision Studio 1 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1154094118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LUCILE DR STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066032",
            "telephone_number": "402-475-9113",
            "fax_number": "402-475-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LUCILE DR STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066032",
            "telephone_number": "402-475-9113",
            "fax_number": "402-475-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOL STUDIO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "402-475-9113"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on Lincoln Vision Studio 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes on Lincoln Vision Studio 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.