Jackson Wesley Kube, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1511 Issued in NE

Practice address

2800 W Norfolk Ave
Norfolk, NE 68701-4402

Phone

(402) 371-8535

NPI assigned

Jun 27, 2020

Last updated

Jun 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Feidler Eye Clinic PCGroup PAC ID 9739135401, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.65 of 100Reported as individual

Quality

83.3

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Feidler Eye Clinic PC

  • Optometrist
  • Norfolk, NE
  • NPI 1114133790
  Medicare reassignment Care Compare group NPD
• Miles Eye Center PLLC

  • Ophthalmology Physician
  • Show Low, AZ
  • NPI 1285864652
  NPD (past)

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1255958070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BLUE STEM CIR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687010839",
            "telephone_number": "402-841-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014402",
            "telephone_number": "402-371-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBE",
        "first_name": "JACKSON",
        "middle_name": "WESLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieth Bautista Kruse
• Gina Krysl, PLMHP, PLADC
• Brianna Elizabeth Krystof
• Kubat Health Care of Norfolk, LLC (Kubat HealthCare)
• Kubat Pharmacy, LLC (Kubat HealthCare)
• Libbie Anessa Kubicek
• McKenzie Anne Kucera
• Kuchar Chiropractic, P.C.
• Nicholas Kuchar, D.C.
• Tonya J Kuchar, LIMHP, CPC

• Optometrist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.

Verify at the official NPI Registry.