Individual provider Active NPI

Tammy Sue Richert, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1225075591
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1115 Issued in NE
Practice address
14760 W Center Rd
Omaha, NE 68144-2035
Phone
(402) 334-9100
Fax
(402) 330-4906
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1115 NE Primary

Addresses

Primary practice location

14760 W Center Rd
Omaha, NE 68144-2035

Mailing address

14760 W Center Rd
Omaha, NE 68144-2035
Phone (402) 334-9100

Other names 1

  • Mrs. Tammy Sue Koepsell Other name

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
I20120420000277 NE Practitioner - Optometry 2163683061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care West, P.C.Group PAC ID 0244329142, 4 clinicians

Practice addresses (Care Compare)

3304 S 143Rd PLZ
Omaha, NE 68144-5619
Phone (402) 334-9100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care West, P.C. Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Schlueter Optometric Corporation Optometrist Past Accepting new patients
Elkhorn Ridge Vision PC Optometrist Past Accepting new patients

Locations

14760 W Center Rd
Omaha, NE 68144
Phone (402) 334-9100

3304 S 143rd Plz
Omaha, NE 68144
Phone (402) 334-9100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1225075591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14760 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442035",
            "telephone_number": "402-334-9100",
            "fax_number": "402-330-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14760 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442035",
            "telephone_number": "402-334-9100",
            "fax_number": "402-330-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "KOEPSELL",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.