Optical Gallery LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL GALLERY LLC

Practice address

2205 N 6TH St
Beatrice, NE 68310-1264

Phone

(402) 223-2950

Fax

(402) 223-5320

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Karen Henzel

Title

Manager

Phone

(402) 223-2950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optical Gallery Other name

Locations

Practitioners 2

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

• Charles H Coren, OD

  • Optometrist
  • Lincoln, NE
  • NPI 1316095094
  NPD (past)
• Trevor Lee Klein, O.D.

  • Optometrist
  • Spartanburg, SC
  • NPI 1528148830
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1376716555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N 6TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683101264",
            "telephone_number": "402-223-2950",
            "fax_number": "402-223-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N 6TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683101264",
            "telephone_number": "402-223-2950",
            "fax_number": "402-223-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL GALLERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HENZEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-223-2950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025614300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Gallery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krystal Novak
• Skylar Nowka
• Lori Nutsch
• Kelly O'Donnell
• Lindsey Oelling, PLMHP
• Scott Osborne, D.D.S.
• Stephen Osborne, COTA
• Oxford Homestead House LLC
• Kelly Lynn Paben
• Rebecca Anne Pacha, CCC-SLP

• Eyewear Supplier in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Eyewear Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.