Individual provider Active NPI

Ginny L Ahrens, O.D.

  • Optometrist
  • Elkhorn, NE
National Provider Identifier
1205095353
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1302 Issued in NE
Practice address
20330 Veterans Dr. Ste 4
Elkhorn, NE 68022-6929
Phone
(402) 885-7695
Fax
(402) 884-2885
NPI assigned
Jun 4, 2008
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1302 NE Primary

Addresses

Primary practice location

20330 Veterans Dr. Ste 4
Elkhorn, NE 68022-6929

Mailing address

20330 Veterans Dr. Ste 4
Elkhorn, NE 68022-6929
Phone (402) 885-7695

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
I20120503000079 NE Practitioner - Optometry 4981866282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Family Eyecare LLCGroup PAC ID 7719381474, 2 clinicians

Practice addresses (Care Compare)

20330 Veterans Dr
Suite 4
Elkhorn, NE 68022-6929
Phone (402) 885-7695

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1302NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Family Eyecare LLC Optometrist CurrentSince Jul 27, 2021 Accepting new patients
Advanced Family Eyecare PC Optometrist CurrentSince Sep 9, 2019 Accepting new patients

Locations

20330 Veterans Dr
Ste 4
Elkhorn, NE 68022
Phone (402) 885-7695

14450 Eagle Run Dr
Ste 140
Omaha, NE 68116
Phone (402) 884-0776

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1205095353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20330 VETERANS DR. STE 4",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226929",
            "telephone_number": "402-885-7695",
            "fax_number": "402-884-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 VETERANS DR. STE 4",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680226929",
            "telephone_number": "402-885-7695",
            "fax_number": "402-884-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "GINNY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.