Organization Active NPI

First Eye Associates PC

  • Ophthalmology Physician
  • Omaha, NE
National Provider Identifier
1174538185
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FIRST EYE ASSOCIATES PC
Practice address
8111 Dodge St Ste 143
Omaha, NE 68114-4100
Phone
(402) 354-8111
Fax
(402) 354-8197
NPI assigned
Jul 29, 2006
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Lori Renee Christianson
Title
Assistant Manager
Phone
(402) 354-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

8111 Dodge St Ste 143
Omaha, NE 68114-4100

Mailing address

8111 Dodge St
Omaha, NE 68114-4129
Phone (402) 354-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000760 NE Part B Supplier - Clinic/Group Practice 3779485776 Receives reassigned benefits from 5 practitioners
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2023649First Eye Associates, PC8111 Dodge, Omaha, NE 68114Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Locations

2953 S 168th St
Omaha, NE 68130
Phone (402) 330-5000

4242 Farnam St
Ste 247
Omaha, NE 68131
Phone (402) 552-2300

8111 Dodge St
Omaha, NE 68114
Phone (402) 354-8111

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1174538185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144129",
            "telephone_number": "402-354-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST STE 143",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144100",
            "telephone_number": "402-354-8111",
            "fax_number": "402-354-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "402-354-8111"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "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 Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.