Professional Eyecare Oakview, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROFESSIONAL EYECARE OAKVIEW, INC

Practice address

12744 Westport Pkwy Ste 1E
La Vista, NE 68138-4017

Phone

(402) 502-1228

Fax

(402) 502-1232

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

William Jeffrey GeisertNPI 1053454124

Title

Owner

Phone

(402) 817-5626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProEye Vision Center Omaha Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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

• William Jeffrey Geisert, OD

  • Optometrist
  • Lincoln, NE
  • NPI 1053454124
  Medicare reassignment Care Compare group Authorized official
• Kelly Jo Robertson, OD

  • Optometrist
  • Omaha, NE
  • NPI 1942368246
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1285843151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12744 WESTPORT PKWY STE 1E",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681384017",
            "telephone_number": "402-502-1228",
            "fax_number": "402-502-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12744 WESTPORT PKWY STE 1E",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681384017",
            "telephone_number": "402-502-1228",
            "fax_number": "402-502-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYECARE OAKVIEW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "GEISERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-817-5626"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "36761",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProEye Vision Center Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney Preis
• Morgan Prescher
• Giovanni Priami, DC
• Bobbi Lou Price
• Prime Physical Therapy PC
• Deseree Puebla
• Sarah Nyachang Puk
• Simar Puk
• Emefa Quashie
• Rasha Ramakrishnan, LIMPH

• Optometrist in La Vista, NE
• Providers in La Vista, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.