Individual provider Active NPI

Lance John Kugler, MD

  • Ophthalmology Physician
  • Omaha, NE
National Provider Identifier
1255370466
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NE23266 Issued in NE
Practice address
13923 Gold Cir
Suite 101
Omaha, NE 68144-2379
Phone
(402) 558-2211
NPI assigned
Jun 5, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NE23266 NE Primary

Addresses

Primary practice location

13923 Gold Cir
Suite 101
Omaha, NE 68144-2379

Mailing address

13923 Gold Cir
Suite 101
Omaha, NE 68144-2379
Phone (402) 558-2211

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001196 NE Practitioner - Ophthalmology 4385689256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kugler Vision PCGroup PAC ID 6305011339, 8 clinicians

Practice addresses (Care Compare)

17838 Burke St
Omaha, NE 68118-2256
Phone (402) 558-2211

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NE23266NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilumin, LLC Ophthalmology PastSince Jul 1, 2022 Accepting new patients
Be Well MD PLLC PastSince Oct 7, 2017 Accepting new patients
Physicians Clinic Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13052/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1255370466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13923 GOLD CIR",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442379",
            "telephone_number": "402-558-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13923 GOLD CIR",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442379",
            "telephone_number": "402-558-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGLER",
        "first_name": "LANCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "NE23266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.