Organization Active NPI

Kearney Eye Institute, P.C.

  • Ophthalmology Physician
  • Grand Island, NE
National Provider Identifier
1386225068
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KEARNEY EYE INSTITUTE, P.C.
Practice address
711 N Custer Ave Ste 2
Grand Island, NE 68803-4311
Phone
(308) 382-7223
Fax
(308) 382-6299
NPI assigned
Apr 15, 2021
Organization subpart
Yes
Parent organization
KEARNEY EYE INSTITUTE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Mrs. Jill Elliott
Title
Business Manager
Phone
(308) 865-2760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

711 N Custer Ave Ste 2
Grand Island, NE 68803-4311

Mailing address

411 W 39TH St
Kearney, NE 68845-2805
Phone (308) 865-2760

Other names 1

  • Grand Island Eye Institute Doing business as

National Provider Directory

National Provider Directory
Part of
Kearney Eye Institute P

Locations

711 N Custer Ave
Grand Island, NE 68803
Phone (308) 381-1781

711 N Custer Ave
Ste G
Grand Island, NE 68803
Phone (308) 865-2760

711 N Custer Ave
Ste 2
Grand Island, NE 68803
Phone (308) 382-7223

503 McMillan St
Holdrege, NE 68949
Phone (308) 995-8697

411 W 39th St
Kearney, NE 68845
Phone (308) 865-2755

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1386225068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N CUSTER AVE STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034311",
            "telephone_number": "308-382-7223",
            "fax_number": "308-382-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY EYE INSTITUTE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEARNEY EYE INSTITUTE, PC",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "308-865-2760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Island Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Island Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.