Bellevue Vision Clinic, PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

095 Issued in NE

Legal business name

BELLEVUE VISION CLINIC, PC

Practice address

1810 Wilshire Dr
Bellevue, NE 68005-3680

Phone

(402) 291-6133

NPI assigned

Sep 17, 2007

Last updated

Jun 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerri Pillen, OD

Title

Owner

Phone

(402) 291-6133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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.

• Kerrri Dietz Pillen, O.D.

  • Optometrist
  • Bellevue, NE
  • NPI 1316048044
  Medicare reassignment

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1407042153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WILSHIRE DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053680",
            "telephone_number": "402-291-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WILSHIRE DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053680",
            "telephone_number": "402-291-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE VISION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "PILLEN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-291-6133",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellevue Pediatric Center PC
• Bellevue Physical Therapy, LLC (Bellevue Physical Therapy)
• Bellevue Primary Healthcare PC
• Bellevue Public Schools (Bellevue Public Schools - CHAP)
• Bellevue Urgent Care LP
• Bellevue Vol. Fire & Rescue
• Amber Nichole Benak, RN, BSN
• Malinda J Bender, MD
• Angela Marie Bennett
• Brandon Anthony Bennett

• Vision Therapy Optometrist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Vision Therapy Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.