Organization Active NPI

Professional Eyecare Gateway Inc.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1235354820
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PROFESSIONAL EYECARE GATEWAY INC.
Practice address
6100 O St #59
Lincoln, NE 68505
Phone
(402) 467-3423
Fax
(402) 467-3425
NPI assigned
Apr 17, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
William Jeffrey Geisert, ODNPI 1053454124
Title
Optometrist
Phone
(402) 467-3423

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 NU Primary

Addresses

Primary practice location

6100 O St #59
Lincoln, NE 68505

Mailing address

6100 O St #59
Lincoln, NE 68505
Phone (402) 467-3423

National Provider Directory

National Provider Directory

Locations

39 Gtwy Mall
Lincoln, NE 68505
Phone (402) 467-3423

39 Gtwy Mall
Lincoln, NE 68505
Phone (402) 467-3446

Practitioners & affiliated clinicians

Practitioners 4

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1235354820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 O ST #59",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68505",
            "telephone_number": "402-467-3423",
            "fax_number": "402-467-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 O ST #59",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68505",
            "telephone_number": "402-467-3423",
            "fax_number": "402-467-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYECARE GATEWAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "GEISERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-467-3423",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.