Insight Vision Service PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1375 Issued in NE

Legal business name

INSIGHT VISION SERVICE PC

Practice address

6750 Woodland Blvd
Ste a
Hickman, NE 68372-6837

Phone

(402) 792-2062

Fax

(402) 657-8203

NPI assigned

Jul 18, 2012

Last updated

Dec 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Charles Scdoris, O.D.NPI 1689937435

Title

Owner

Phone

(402) 431-1203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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.

• John Charles Scdoris, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1689937435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1306191150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WOODLAND BLVD STE A",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683729626",
            "telephone_number": "402-657-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 WOODLAND BLVD",
            "address_2": "STE A",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683726837",
            "telephone_number": "402-792-2062",
            "fax_number": "402-657-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT VISION SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "SCDORIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-431-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Jolynia Hitz
• Ngosong Khumbah Nwelatow
• Kaycee Lynn Kuhn
• Jonathon Lamarque
• Hana Joy Lovorn
• Tommy R Martin, DDS

• Optometrist in Hickman, NE
• Providers in Hickman, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.