Individual provider Active NPI

Staci M Hanus, O.D.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1265598841
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1221 Issued in NE
Practice address
1500 S 48TH St
Suite 610
Lincoln, NE 68506-1276
Phone
(402) 483-4448
Fax
(402) 483-4750
NPI assigned
Dec 28, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1221 NE Primary

Addresses

Primary practice location

1500 S 48TH St
Suite 610
Lincoln, NE 68506-1276

Mailing address

11606 Nicholas St
Suite 200
Omaha, NE 68154-4478
Phone (402) 493-2020

Other identifiers 4

IdentifierTypeStateIssuer
281572OtherNEMEDICARE
P00200037OtherNERR MEDICARE
06945OtherNEBLUE CROSS
P00160845OtherNERR MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000230 NE Practitioner - Optometry 9436124880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

755 Fallbrook Blvd
Suite 205
Lincoln, NE 68521-9055
Phone (402) 483-4448

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
96.95
Improvement activities
40
Cost
76.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1221NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Optometry of Nebraska, LLC Optometrist CurrentSince Jul 9, 2024 Accepting new patients
Omaha Eye & Laser Institute, Inc. Optometrist CurrentSince Aug 27, 2007 Accepting new patients
Vision Associates Inc Optometrist Past Accepting new patients
Vision Assoicates Inc Optometrist Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1633 Normandy Ct
Ste B
Lincoln, NE 68512
Phone (402) 328-0048

755 Fallbrook Blvd
Ste 204
Lincoln, NE 68521
Phone (402) 483-4448

755 Fallbrook Blvd
Ste 205
Lincoln, NE 68521
Phone (402) 483-1276

11606 Nicholas St
Ste 200
Omaha, NE 68154
Phone (402) 493-2020

2525 S 135th Ave
Omaha, NE 68144
Phone (402) 333-2304

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1265598841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 NICHOLAS ST",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544478",
            "telephone_number": "402-493-2020",
            "fax_number": "402-493-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST",
            "address_2": "SUITE 610",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061276",
            "telephone_number": "402-483-4448",
            "fax_number": "402-483-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANUS",
        "first_name": "STACI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "281572",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00200037",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "06945",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00160845",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.