Jeffrey S Saum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1037 Issued in NE

Practice address

220 Broadway St
Fullerton, NE 68638-3126

Phone

(308) 536-2268

Fax

(308) 536-2329

NPI assigned

Dec 28, 2005

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians, P.C.Group PAC ID 5698863579, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.25 of 100Reported as group

Quality

98.12

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Physicians, P.C.

  • Optometrist
  • Columbus, NE
  • NPI 1497732895
  Medicare reassignment Care Compare group NPD
• Eye Physicians, P.C.

  • Optometrist
  • Norfolk, NE
  • NPI 1528135118
  NPD (past)
• Eye Physicians, P.C.

  • Optometrist
  • Fullerton, NE
  • NPI 1548337223
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1154308583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BROADWAY ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383126",
            "telephone_number": "308-536-2268",
            "fax_number": "308-536-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BROADWAY ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383126",
            "telephone_number": "308-536-2268",
            "fax_number": "308-536-2329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 W Main St",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "NE",
            "postal_code": "686201231",
            "country_code": "US",
            "telephone_number": "402-395-2627",
            "fax_number": "402-395-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3772 43rd Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686011681",
            "country_code": "US",
            "telephone_number": "402-563-3686",
            "fax_number": "402-563-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUM",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082635801",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36767",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fullerton, NE
• Providers in Fullerton, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.