Active NPI
Staci M Hanus, O.D.
- Optometrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1221
- 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, 2007
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281572 | Other | NE | MEDICARE |
| P00200037 | Other | NE | RR MEDICARE |
| 06945 | Other | NE | BLUE CROSS |
| P00160845 | Other | NE | RR 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
Enrollment records 1
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 100
- Quality
- 96.95
- Improvement activities
- 40
- Cost
- 76.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Care Optometry of Nebraska, LLC | Optometrist | Current | Accepting new patients |
| Omaha Eye & Laser Institute, Inc. | Optometrist | Current | 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.
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1154424307
-
- Optometrist
- Lincoln, NE
- NPI 1174939318
-
dba Lincoln Eye & Laser Institute
- Ophthalmology Physician
- Lincoln, NE
- NPI 1740386606
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.