Individual provider Active NPI

Alyssa Ann Calta, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1194572313
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1640 Issued in NE
Practice address
6751 N 72ND St Ste 105
Omaha, NE 68122-1746
Phone
(402) 572-2020
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1640 NE Primary

Addresses

Primary practice location

6751 N 72ND St Ste 105
Omaha, NE 68122-1746

Mailing address

61 Kings Arms at Waterfor
York, PA 17402-9153
Phone (717) 658-6577

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
I20240724002256 NE Practitioner - Optometry 1658817861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce H Brumm MD PCGroup PAC ID 7315916186, 4 clinicians

Practice addresses (Care Compare)

6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone (402) 572-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1640NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce H Brumm MD PC CurrentSince Aug 12, 2024 Accepting new patients
Bruce H Brumm MD PC Past Accepting new patients

Locations

6751 N 72nd St
Ste 105
Omaha, NE 68122
Phone (402) 572-2020

17001 Lakeside Hills Plz
Ste 101
Omaha, NE 68130
Phone (402) 934-7700

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1194572313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 KINGS ARMS AT WATERFOR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029153",
            "telephone_number": "717-658-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N 72ND ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221746",
            "telephone_number": "402-572-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALTA",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.