Individual provider Active NPI

Paul Lloyd Salansky Jr., OD

  • Optometrist
  • Nebraska City, NE
National Provider Identifier
1285628297
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
833 Issued in NE
Practice address
121 N 8TH St
Nebraska City, NE 68410
Phone
(402) 873-6696
Fax
(402) 873-5149
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 833 NE Primary

Addresses

Primary practice location

121 N 8TH St
Nebraska City, NE 68410

Mailing address

121 N 8TH St
Nebraska City, NE 68410
Phone (402) 873-6696

Other identifiers 10

IdentifierTypeStateIssuer
06737OtherNEBCBS
410029442OtherNERAILROAD MEDICARE
47072188700MedicaidNE
2200002OtherNEUNITED HEALTHCARE
2200004OtherNEMEDICARE COMPLETE
13691OtherNEMIDLANDS CHOICE
410022770OtherNERAILROAD MEDICARE
47072188701MedicaidNE
0448340001OtherNECIGNA (DMERC)
0448340002OtherNECIGNA (DMERC)

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
I20091013000142 NE Practitioner - Optometry 0345386900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Special Care Optometry of Nebraska LLCGroup PAC ID 4981824646, 2 clinicians

Practice addresses (Care Compare)

2525 S 135TH Ave
Omaha, NE 68144-2424
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Optometry of Nebraska, LLC Optometrist CurrentSince Nov 30, 2018 Accepting new patients
Mid-Plains Eyecare Center Optometrist Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: paul.salanskyjr.p8@direct.360care.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1285628297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 8TH ST",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "68410",
            "telephone_number": "402-873-6696",
            "fax_number": "402-873-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 8TH ST",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "68410",
            "telephone_number": "402-873-6696",
            "fax_number": "402-873-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALANSKY",
        "first_name": "PAUL",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06737",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029442",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47072188700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200002",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "2200004",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "13691",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410022770",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47072188701",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (DMERC)",
            "identifier": "0448340001",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (DMERC)",
            "identifier": "0448340002",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebraska City, NE

Sources for this page

Verify at the official NPI Registry.