NPIMap

Organization Active NPI

Jerry G Damme O.D.,P.C.

  • Eyewear Supplier
  • Papillion, NE
National Provider Identifier
1205015963
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
816 Issued in NE
Legal business name
JERRY G DAMME O.D.,P.C.
Practice address
504 N Washington St
Box 461066
Papillion, NE 68046-2236
Phone
(402) 592-4980
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Jerry G Damme, OD
Title
President
Phone
(402) 592-4980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 816 NE Primary

Addresses

Primary practice location

504 N Washington St
Box 461066
Papillion, NE 68046-2236

Mailing address

504 N Washington St
Box 461066
Papillion, NE 68046-2236
Phone (402) 592-4980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1205015963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N WASHINGTON ST",
            "address_2": "BOX 461066",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462236",
            "telephone_number": "402-592-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N WASHINGTON ST",
            "address_2": "BOX 461066",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462236",
            "telephone_number": "402-592-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY G DAMME O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "DAMME",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-592-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.