NPIMap

Organization Active NPI

Vision Specialists on Harrison LLC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1407457690
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SPECIALISTS ON HARRISON LLC
Practice address
6720 S 178TH Street
Omaha, NE 68135
Phone
(402) 250-2302
Fax
(402) 383-9191
NPI assigned
Nov 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Kyle Cheatham, OD
Title
Owner
Phone
(712) 322-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6720 S 178TH Street
Omaha, NE 68135

Mailing address

2514 W Broadway
Council Bluffs, IA 51501
Phone (712) 322-3097

National Provider Directory

National Provider Directory

Locations

6720 S 178th St
Omaha, NE 68135
Phone (402) 302-0211

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1407457690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-322-3097",
            "fax_number": "712-322-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 S 178TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68135",
            "telephone_number": "402-250-2302",
            "fax_number": "402-383-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SPECIALISTS ON HARRISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-322-3097",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.