NPIMap

Organization Active NPI

Bolen Eigenberg PC

Doing business as Minden Vision Clinic

  • Optometrist
  • Minden, NE
National Provider Identifier
1245574615
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1292 Issued in NE
Legal business name
BOLEN EIGENBERG PC
Doing business as
Minden Vision Clinic
Practice address
110 E Hawthorne St
Minden, NE 68959-1971
Phone
(308) 832-0144
NPI assigned
Nov 25, 2012
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Nathaniel Bolen, ODNPI 1609057710
Title
Optometrist
Phone
(308) 440-3837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1292 NE Primary

Addresses

Primary practice location

110 E Hawthorne St
Minden, NE 68959-1971

Mailing address

1918 W 5TH St
Hastings, NE 68901-4704
Phone (308) 832-0144

Other names 1

  • Minden Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1353801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1245574615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 W 5TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014704",
            "telephone_number": "308-832-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HAWTHORNE ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591971",
            "telephone_number": "308-832-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLEN EIGENBERG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-25",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "308-440-3837",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minden Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minden, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.