Active NPI
Emily Weakland, OD
- Optometrist
- Grand Island, NE
National Provider Identifier
1265002521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1535
- Practice address
- 1919 N Diers Ave
Grand Island, NE 68803-1283 - Phone
- (308) 382-7661
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- Sex
- Female
- 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 | 1535 | NE | Primary |
Addresses
Primary practice location
1919 N Diers Ave
Grand Island, NE 68803-1283
Mailing address
1919 N Diers Ave
Grand Island, NE 68803-1283
Other names 1
- Emily Sander
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3044 S 84TH St
1 Shopko Optical 4044
Omaha, NE 68124-3208
Phone (402) 391-1143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
Locations
3044 S 84th St
Ste 1
Omaha, NE 68124
Phone (402) 391-1143
Organizations & group practices 2
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.
-
dba Fielmann Vision Care 4313
- Eyewear Supplier
- Rockford, IL
- NPI 1467311142
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1265002521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688031283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688031283",
"telephone_number": "308-382-7661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAKLAND",
"first_name": "EMILY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SANDER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.