Active NPI
Taylor Dean Anson, OD
- Optometrist
- Crete, NE
National Provider Identifier
1235975632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1650
- Practice address
- 1119 Main Ave
Crete, NE 68333-2259 - Phone
- (402) 826-2246
- Fax
- (402) 826-3612
- NPI assigned
- Jul 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1650 | NE | Primary |
Addresses
Primary practice location
1119 Main Ave
Crete, NE 68333-2259
Mailing address
1119 Main Ave
Crete, NE 68333-2259
Phone (402) 826-2246
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903000216 | NE | Practitioner - Optometry | 3971042169 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crete Family Eyecare PC
Practice addresses (Care Compare)
1119 Main Ave
Crete, NE 68333-2259
Phone (402) 826-2246
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1650 | NE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crete Family Eyecare PC | Optometrist | Current | Accepting new patients |
Locations
1119 Main Ave
Crete, NE 68333
Phone (402) 826-2236
Organizations & group practices 1
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": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1235975632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 MAIN AVE",
"city": "CRETE",
"state": "NE",
"postal_code": "683332259",
"telephone_number": "402-826-2246",
"fax_number": "402-826-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 MAIN AVE",
"city": "CRETE",
"state": "NE",
"postal_code": "683332259",
"telephone_number": "402-826-2246",
"fax_number": "402-826-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSON",
"first_name": "TAYLOR",
"middle_name": "DEAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-04",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crete, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.