NPIMap

Organization Active NPI

Karen B Wilson OD PC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1275839359
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1145 Issued in NE
Legal business name
KAREN B WILSON OD PC
Practice address
619 S 124TH St
Omaha, NE 68154-3023
Phone
(402) 614-8667
Fax
(402) 671-5462
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Dr. Karen Borchman Wilson, OD
Title
Owner/Provider
Phone
(402) 614-8667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1145 NE Primary

Addresses

Primary practice location

619 S 124TH St
Omaha, NE 68154-3023

Mailing address

619 S 124TH St
Omaha, NE 68154-3023
Phone (402) 614-8667

National Provider Directory

National Provider Directory

Locations

8616 N 30th St
Omaha, NE 68112
Phone (402) 451-1717

6767 Maple St
Omaha, NE 68104
Phone (402) 393-8917

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1275839359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S 124TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543023",
            "telephone_number": "402-614-8667",
            "fax_number": "402-671-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 124TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543023",
            "telephone_number": "402-614-8667",
            "fax_number": "402-671-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN B WILSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "BORCHMAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "402-614-8667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.