NPIMap

Organization Active NPI

Dynamic Vision PC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1174210751
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DYNAMIC VISION PC
Practice address
6914 N 102ND Cir
Omaha, NE 68122-3056
Phone
(402) 215-2020
Fax
(402) 763-5233
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Dr. Dara Lee Latner, O.D.NPI 1912564022
Title
Optometrist/President
Phone
(402) 253-7439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6914 N 102ND Cir
Omaha, NE 68122-3056

Mailing address

6914 N 102ND Cir
Omaha, NE 68122-3056
Phone (402) 215-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1174210751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 N 102ND CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681223056",
            "telephone_number": "402-215-2020",
            "fax_number": "402-763-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 N 102ND CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681223056",
            "telephone_number": "402-215-2020",
            "fax_number": "402-763-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "LATNER",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "402-253-7439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.