Individual provider Active NPI

Karen Sue Armitage, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1376594572
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1045 Issued in NE
Practice address
11811 Fort St
Ste 105
Omaha, NE 68164-2134
Phone
(402) 932-4800
Fax
(402) 933-4530
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 1045 NE Primary

Addresses

Primary practice location

11811 Fort St
Ste 105
Omaha, NE 68164-2134

Mailing address

11811 Fort St
Ste 105
Omaha, NE 68164-2134
Phone (402) 932-4800

Other identifiers 3

IdentifierTypeStateIssuer
36314OtherNEBCBS
100249756-00MedicaidNE
10917OtherNEMIDLAND'S CHOICE

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
I20040518001413 NE Practitioner - Optometry 2365432051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Clarity Eye Care PCGroup PAC ID 3375533060, 2 clinicians

Practice addresses (Care Compare)

11811 Fort St
Omaha, NE 68164-2134
Phone (402) 932-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1376594572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 FORT ST",
            "address_2": "STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642134",
            "telephone_number": "402-932-4800",
            "fax_number": "402-933-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 FORT ST",
            "address_2": "STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642134",
            "telephone_number": "402-932-4800",
            "fax_number": "402-933-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMITAGE",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36314",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249756-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE",
            "identifier": "10917",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.