Organization Active NPI

Exact Eye Care, Inc

  • Optometrist
  • Kearney, NE
National Provider Identifier
1205216207
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
971 Issued in NE
Legal business name
EXACT EYE CARE, INC
Practice address
4919 2ND Ave
Suite 53
Kearney, NE 68847-2482
Phone
(308) 237-7693
Fax
(308) 237-2948
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Jeffrey Gene Kozal, O.D.NPI 1326192592
Title
Owner
Phone
(308) 237-7693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 971 NE Primary

Addresses

Primary practice location

4919 2ND Ave
Suite 53
Kearney, NE 68847-2482

Mailing address

4919 2ND Ave
Suite 53
Kearney, NE 68847-2482
Phone (308) 237-7693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150706002551 NE Part B Supplier - Clinic/Group Practice 9436461381 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

4919 2nd Ave
Ste 53
Kearney, NE 68847
Phone (308) 237-7693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1205216207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 2ND AVE",
            "address_2": "SUITE 53",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472482",
            "telephone_number": "308-237-7693",
            "fax_number": "308-237-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 2ND AVE",
            "address_2": "SUITE 53",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472482",
            "telephone_number": "308-237-7693",
            "fax_number": "308-237-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXACT EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KOZAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-237-7693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.