NPIMap

Organization Active NPI

Vision Specialists of Clocktower Village, LLC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1326559725
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SPECIALISTS OF CLOCKTOWER VILLAGE, LLC
Practice address
625 N 98TH St
Omaha, NE 68114-2342
Phone
(402) 397-0497
Fax
(402) 397-0180
NPI assigned
Oct 12, 2017
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Kyle Cheatham, ODNPI 1568568384
Title
Owner
Phone
(712) 322-3097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

625 N 98TH St
Omaha, NE 68114-2342

Mailing address

625 N 98TH St
Omaha, NE 68114-2342
Phone (712) 322-3097

National Provider Directory

National Provider Directory

Locations

827 N 98th St
Omaha, NE 68114
Phone (402) 397-0497

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1326559725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N 98TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142342",
            "telephone_number": "712-322-3097",
            "fax_number": "712-322-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N 98TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142342",
            "telephone_number": "402-397-0497",
            "fax_number": "402-397-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SPECIALISTS OF CLOCKTOWER VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-322-3097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "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 Mar 21, 2018; 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.