Omaha Eye & Laser Institute, Inc.
Organization Active NPI Ophthalmology Physician · Omaha, NE
NPI 1154424307 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1154424307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- OMAHA EYE & LASER INSTITUTE, INC.
- Practice address
- 11606 Nicholas St
Suite 200
Omaha, NE 68154-4478 - Phone
- (402) 493-2020
- Fax
- (402) 493-8341
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Sao Jang Liu, M.D.
- Title
- Medical Director
- Phone
- (402) 493-2020
Other NPIs on the same Medicare enrollment 2
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 4
Practitioners 14
-
Sao Jang Liu, M.D.
-
Christopher Bergman, O.D.
-
Mary Haschke, M.D.
-
Andria Nicole Louis, O.D.
-
John T Halgren, MD
-
Staci M Hanus, O.D.
-
Joanna L Liu, O.D.
-
Sao Cheng Liu, M.D.
-
William James Thomas, M.D.
-
Mark R. Young, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2050903 | Omaha Eye Institute | Certificate of waiver | Dec 6, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329000772 | IA | Part B Supplier - Clinic/Group Practice | 8628960101 |
Receives reassigned benefits from 4 practitioners Practice locations: Denison, IA; Harlan, IA |
| O20040901000388 | NE | Part B Supplier - Clinic/Group Practice | 8628960101 |
Receives reassigned benefits from 14 practitioners 2 other NPIs on this enrollment Practice locations: Omaha, NE; Lincoln, NE; Auburn, NE |
National Provider Directory
- Tax ID family
- Omaha Eye Laser Insti
Locations
11606 Nicholas St
Ste 203
Omaha, NE 68154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Mailing address
11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Phone (402) 493-2020
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Direct@OmahaEyeLaserOmahaNE.CompulinkDirect.com |
Other providers in Omaha, NE
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- Omaha Emergency Physicians PC
- Omaha Endodontists PC
- Omaha Eyecare
- Omaha Facial Plastic Surgery PC
- Omaha Facial Plastic Surgery PC
- Omaha Family Chiropractic LLC
- Omaha Family Counseling Place LLC
All providers in Omaha, NE · Ophthalmology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.