NPIMap

Organization Active NPI

Holdrege Family Vision Clinic PC

  • Eyewear Supplier
  • Holdrege, NE
National Provider Identifier
1265529150
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
831 Issued in NE
Legal business name
HOLDREGE FAMILY VISION CLINIC PC
Practice address
503 McMillan Street
Holdrege, NE 68949-0920
Phone
(308) 995-8697
NPI assigned
Oct 10, 2006
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Wayne E Quincy, ODNPI 1386649531
Title
Owner/Pres
Phone
(308) 995-8697

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
Eyewear Supplier 332H00000X 831 NE Primary

Addresses

Primary practice location

503 McMillan Street
Holdrege, NE 68949-0920

Mailing address

503 McMillan Street
PO Box 920
Holdrege, NE 68949-0920
Phone (308) 995-8697

Other identifiers 1

IdentifierTypeStateIssuer
0269890002OtherNDNORIDIAN DMERC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Holdrege Family Vision Clinic503 McMillan St, Holdrege, NE 68949-2052(308) 995-8697 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Holdrege Family Vision PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

503 McMillan St
Holdrege, NE 68949
Phone (308) 995-8697

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1265529150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN STREET",
            "address_2": "PO BOX 920",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689490920",
            "telephone_number": "308-995-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN STREET",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689490920",
            "telephone_number": "308-995-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDREGE FAMILY VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "QUINCY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "308-995-8697",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN DMERC",
            "identifier": "0269890002",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.