Envision Eyecare Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1182 Issued in NE

Legal business name

ENVISION EYECARE ASSOCIATES LLC

Practice address

1171 N Cotner Blvd
Lincoln, NE 68505-1835

Phone

(402) 466-6070

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Wade Engel, O.D.NPI 1679524755

Title

Managing Member

Phone

(402) 730-9316

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Wade Engel, O.D.

  • Optometrist
  • Lincoln, NE
  • NPI 1679524755
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1205201803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 EMMAWALTER RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685179833",
            "telephone_number": "402-730-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051835",
            "telephone_number": "402-466-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-730-9316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679524755",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Allen Enninga, OTD, OTR/L
• Madelyn Ennis, OTR/L
• Alison Enriquez, M.S., CCC-SLP
• Joseph F Enriquez
• Jason Ensrud, ATC
• Envision Open MRI LLC
• Eol Studio 1
• Eol Studio 2, LLC
• Carl Riley Epley
• Shelby Epp

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.