NPIMap

Organization Active NPI

Lexington Family Eyecare

  • Optometrist
  • Cozad, NE
National Provider Identifier
1295266070
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEXINGTON FAMILY EYECARE
Practice address
807 Meridian Ave
Cozad, NE 69130-1754
Phone
(308) 784-2100
Fax
(308) 784-2103
NPI assigned
Mar 23, 2017
Last updated
Dec 1, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
LEXINGTON FAMILY EYECAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Evadawn Smith
Title
Insurance Billing Clerk
Phone
(308) 324-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NE Primary

Addresses

Primary practice location

807 Meridian Ave
Cozad, NE 69130-1754

Mailing address

807 Meridian Ave
Cozad, NE 69130-1754
Phone (308) 784-2100

Other identifiers 1

IdentifierTypeStateIssuer
152W00000XMedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060206000881 NE Part B Supplier - Clinic/Group Practice 3678587151 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cozad, NE; Lexington, NE
O20170925000845 NE DME Supplier - Physician - Optometrist 3678587151 Practice locations: Cozad, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cozad Family Eyecare807 Meridian Ave, Cozad, NE 69130-1754(308) 784-2100 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Cozad Family Eyecare2 organizations share this tax ID, including this one
Part of
Cozad Family Eyecare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 Meridian Ave
Cozad, NE 69130
Phone (308) 784-2100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1295266070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MERIDIAN AVE",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301754",
            "telephone_number": "308-784-2100",
            "fax_number": "308-784-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MERIDIAN AVE",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301754",
            "telephone_number": "308-784-2100",
            "fax_number": "308-784-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON FAMILY EYECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON FAMILY EYECARE",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EVADAWN",
        "authorized_official_title_or_position": "INSURANCE BILLING CLERK",
        "authorized_official_telephone_number": "308-324-5631"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152W00000X",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cozad, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.