Individual provider Active NPI

John Neumann Boever, O.D.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1184646127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1255 Issued in NE
Practice address
6845 S 27TH St
Lincoln, NE 68512-4823
Phone
(402) 420-6644
Fax
(402) 420-2926
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1255 NE Primary

Addresses

Primary practice location

6845 S 27TH St
Lincoln, NE 68512-4823

Mailing address

6845 S 27TH St
Lincoln, NE 68512-4823
Phone (402) 420-6644

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000404 NE Practitioner - Optometry 2466456702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Hidcote Dr
Suite 200
Lincoln, NE 68516-5569
Phone (402) 307-5090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1255NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shopko Stores Operating Co. LLC Current Accepting new patients
Shopko Stores Operating Co. LLC CurrentSince Aug 1, 2006 Accepting new patients
Boever Family Eyecare Optometrist CurrentSince May 28, 2019 Accepting new patients
Shopko Stores Operating Co. LLC CurrentSince Aug 1, 2006 Accepting new patients

Locations

100 S 66th St
Lincoln, NE 68510
Phone (402) 489-7148

4200 S 27th St
Lincoln, NE 68502
Phone (402) 421-2444

5801 Hidcote Dr
Ste 200
Lincoln, NE 68516
Phone (402) 307-5090

6845 S 27th St
Lincoln, NE 68512
Phone (402) 420-1199

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184646127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 S 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124823",
            "telephone_number": "402-420-6644",
            "fax_number": "402-420-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 S 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124823",
            "telephone_number": "402-420-6644",
            "fax_number": "402-420-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEVER",
        "first_name": "JOHN",
        "middle_name": "NEUMANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.