Organization Active NPI

Jepsen Optometry, PC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1205250602
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JEPSEN OPTOMETRY, PC
Practice address
6304 N 99TH St
Omaha, NE 68134-1528
Phone
(402) 492-9440
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Muriel Jepsen, O.D.
Title
Owner
Phone
(402) 290-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6304 N 99TH St
Omaha, NE 68134-1528

Mailing address

6304 N 99TH St
Omaha, NE 68134-1528
Phone (402) 492-9440

Other identifiers 1

IdentifierTypeStateIssuer
10026402600MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1205250602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 N 99TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341528",
            "telephone_number": "402-492-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 N 99TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341528",
            "telephone_number": "402-492-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPSEN OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "JEPSEN",
        "authorized_official_first_name": "MURIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-290-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026402600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.