Eye Physicians, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE PHYSICIANS, P.C.

Doing business as

Eye Physicians Norfolk

Practice address

2501 W Benjamin Ave
Norfolk, NE 68701-3119

Phone

(402) 371-3158

Fax

(402) 371-3466

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE PHYSICIANS, PCAs reported in NPPES

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

Authorized official

Name

Ruth A Diedrichsen

Title

Billing / HR

Phone

(402) 563-3686

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Eye Physicians Norfolk Doing business as

Tax ID family

Eye Physicians PC7 organizations share this tax ID, including this one

Part of

Eye Physicians PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Physicians, P.C.

  • Optometrist
  • David City, NE
  • NPI 1083781777
  NPD tax ID
• Eye Physicians, P.C.

  • Optometrist
  • Columbus, NE
  • NPI 1497732895
  NPD tax ID
• Eye Physicians, P.C.

  • Optometrist
  • Norfolk, NE
  • NPI 1528135118
  NPD tax ID
• Eye Physicians, P.C.

  • Optometrist
  • Fullerton, NE
  • NPI 1548337223
  NPD tax ID
• Eye Physicians, P.C.

  • Optometrist
  • Columbus, NE
  • NPI 1770790081
  NPD tax ID
• Eye Physicians, P.C.

  • Optometrist
  • Neligh, NE
  • NPI 1922175512
  NPD tax ID

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1174249833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021275",
            "telephone_number": "402-563-3686",
            "fax_number": "402-563-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013119",
            "telephone_number": "402-371-3158",
            "fax_number": "402-371-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS, PC",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "DIEDRICHSEN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING / HR",
        "authorized_official_telephone_number": "402-563-3686"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026610706",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026610707",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Physicians Norfolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Evans
• Linda Evans
• Samantha Sue Evans
• Mariah Everhart
• Shannon Rae Evert, ATC
• Eye Physicians, P.C.
• Martina Eyer
• Jeanna Faesser, MS, CCC-SLP
• Olouwatobi Yeriel Fagbohoun
• Rabih C Fahed, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.