Individual provider Active NPI

Taylor Dean Anson, OD

  • Optometrist
  • Crete, NE
National Provider Identifier
1235975632
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1650 Issued in NE
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

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

Practice addresses (Care Compare)

1119 Main Ave
Crete, NE 68333-2259
Phone (402) 826-2246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1650NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crete Family Eyecare PC Optometrist CurrentSince Aug 2, 2024 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

Verify at the official NPI Registry.