Lorraine Myers Provencher, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35854 Issued in NE

Practice address

4909 S 118TH St
Omaha, NE 68137-2213

Phone

(402) 506-9970

Fax

(605) 371-7199

NPI assigned

May 28, 2014

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lorraine Amber Myers Former name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vance Thompson Vision Clinic Prof LLCGroup PAC ID 1153567441, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.1 of 100Reported as group

Quality

88.91

Promoting interoperability

100

Improvement activities

40

Cost

68.1

Merit-based Incentive Payment System (MIPS)

Final score

88.83 of 100Reported as group

Quality

93.82

Promoting interoperability

97

Improvement activities

40

Cost

71.43

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lorriane.provencher.p1@direct.cei.nextgenshare.com
• Direct secure messaging: lprovencher@vtv.intellechartdirect.net

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.

• Vance Thompson Vision Clinic Prof LLC

  dba Vance Thompson Vision

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1205193554

  NE

  Medicare reassignment Care Compare group NPD
• Vance Thompson Vision Sioux City, Prof LLC

  • Ophthalmology Physician
  • South Sioux City, NE
  • NPI 1255929089
  NPD (past)
• Vance Thompson Vision Surgery Center NE, LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1992343610

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1174935910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372213",
            "telephone_number": "402-506-9970",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 S 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372213",
            "telephone_number": "402-506-9970",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVENCHER",
        "first_name": "LORRAINE",
        "middle_name": "MYERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "35854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "MYERS",
            "middle_name": "AMBER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Prottsman
• Abigail Jo Protzman
• Rachelle Suzanne Prouse
• Joanna Prout, MA
• Jessica Lynne Provaznik, PHARMD
• Provider LLC
• Provision Eye Care LLC
• Jessica Prucha, PHARMD
• William Pruett, MD
• Ashlee Sue Pruis-Trapp, PLMHP

• Ophthalmology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Ophthalmology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.