Active NPI
Wayne Eugene Quincy, OD
- Optometrist
- Holdrege, NE
National Provider Identifier
1386649531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 831
- Practice address
- 503 McMillan St
Holdrege, NE 68949-2052 - Phone
- (308) 995-8697
- Fax
- (308) 995-8631
- NPI assigned
- Jun 15, 2005
- Last updated
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 831 | NE | Primary |
Addresses
Primary practice location
503 McMillan St
Holdrege, NE 68949-2052
Mailing address
503 McMillan St
PO Box 920
Holdrege, NE 68949-2052
Phone (308) 995-8697
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6975 | Other | NE | BCBS |
| 8083 | Other | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holdrege Family Vision Clinic PC | Optometrist | Past | Accepting new patients |
| Phelps Memorial Health Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Holdrege, NE
- NPI 1265529150
-
- Optometrist
- Holdrege, NE
- NPI 1700881968
-
dba Phelps Medical Group
- Rural Health Clinic/Center
- Holdrege, NE
- NPI 1891189809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1386649531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 MCMILLAN ST",
"address_2": "PO BOX 920",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492052",
"telephone_number": "308-995-8697",
"fax_number": "308-995-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MCMILLAN ST",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492052",
"telephone_number": "308-995-8697",
"fax_number": "308-995-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINCY",
"first_name": "WAYNE",
"middle_name": "EUGENE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6975",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "8083",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.