Individual provider Active NPI

Richard K Bunger, OD

  • Optometrist
  • Grand Island, NE
National Provider Identifier
1184629636
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
839 Issued in NE
Practice address
401 N Eddy St
Grand Island, NE 68801-4558
Phone
(308) 384-6922
Fax
(308) 384-7824
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 839 NE Primary

Addresses

Primary practice location

401 N Eddy St
Grand Island, NE 68801-4558

Mailing address

401 N Eddy St
Grand Island, NE 68801-4558
Phone (308) 384-6922

Other identifiers 1

IdentifierTypeStateIssuer
NE839MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
839NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center, PC Optometrist Past Accepting new patients
Family Eyecare Center,PC Optometrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://familyeyecarecampbell.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1184629636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EDDY ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014558",
            "telephone_number": "308-384-6922",
            "fax_number": "308-384-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EDDY ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014558",
            "telephone_number": "308-384-6922",
            "fax_number": "308-384-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGER",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NE839",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.