Active NPI
Ethan Rockwell, OD
- Optometrist
- Norfolk, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1625
- Practice address
- 3610 W Norfolk Ave
Norfolk, NE 68701-7702 - Phone
- (402) 371-8230
- NPI assigned
- Aug 3, 2023
- Last updated
- Aug 3, 2023
- 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 | 1625 | NE | Primary |
Addresses
Primary practice location
3610 W Norfolk Ave
Norfolk, NE 68701-7702
Mailing address
1201 Tara Heights Dr
Norfolk, NE 68701-3090
Phone (515) 865-3575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3610 W Norfolk Ave
Norfolk, NE 68701-7702
Phone (402) 371-8230
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.28 of 100
- Quality
- 98.56
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1625 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
Locations
605 23rd St
Columbus, NE 68601
Phone (402) 564-0545
3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230
Organizations & group practices 3
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.
-
dba Unity Eye Centers Grand Island
- Optometrist
- Grand Island, NE
- NPI 1982254207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1417639022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 TARA HEIGHTS DR",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013090",
"telephone_number": "515-865-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687017702",
"telephone_number": "402-371-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "ETHAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.