Individual provider Active NPI

Brett Jamas Hytrek, O.D.

  • Optometrist
  • Holdrege, NE
National Provider Identifier
1184954927
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1337 Issued in NE
Practice address
503 McMillan St
Holdrege, NE 68949-2052
Phone
(308) 995-8697
NPI assigned
Dec 29, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1337 NE Primary

Addresses

Primary practice location

503 McMillan St
Holdrege, NE 68949-2052

Mailing address

503 McMillan St
Holdrege, NE 68949-2052
Phone (308) 995-8697

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
I20100312000079 NE Practitioner - Optometry 4789719030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holdrege Family Vision Clinic PCGroup PAC ID 1254437346, 2 clinicians

Practice addresses (Care Compare)

503 McMillan St
Holdrege, NE 68949-2052
Phone (308) 995-8697

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1337NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holdrege Family Vision Clinic PC Optometrist CurrentSince Feb 1, 2010 Accepting new patients
Holdrege Family Vision Clinic PC Optometrist Past Accepting new patients

Locations

503 McMillan St
Holdrege, NE 68949
Phone (308) 995-8697

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, 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": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1184954927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYTREK",
        "first_name": "BRETT",
        "middle_name": "JAMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.