Individual provider Active NPI

Cherie S Lodl, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1427052125
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1042 Issued in NE
Practice address
2510 S 171St CT
Omaha, NE 68130-2394
Phone
(402) 330-3063
Fax
(402) 334-4418
NPI assigned
Jun 9, 2005
Last updated
May 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1042 NE Primary

Addresses

Primary practice location

2510 S 171St CT
Omaha, NE 68130-2394

Mailing address

2510 S 171St CT
Omaha, NE 68130-2394
Phone (402) 330-3063

Other identifiers 7

IdentifierTypeStateIssuer
15477OtherNESPECTERA
36713OtherNEBLUE CROSS BLUE SHIELD
2200244OtherNEUNITED HEALTHCARE
470833584OtherNETAX IDENTIFICATION NUMBER
86956OtherNECOVENTRY
NE1042OtherNEMUTUALLY PREFERRED
O10900916OtherNEEXCLUSIVECARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081009000143 NE Practitioner - Optometry 4284702853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1042NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Millard Family Eyecare, P.C. Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Millard Family Eyecare, P.C. Optometrist CurrentSince Jan 1, 2018 Accepting new patients

Locations

2510 S 171st Ct
Omaha, NE 68130
Phone (402) 330-3063

12660 Q St
Omaha, NE 68137
Phone (402) 884-6841

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1427052125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 S 171ST CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302394",
            "telephone_number": "402-330-3063",
            "fax_number": "402-334-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S 171ST CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302394",
            "telephone_number": "402-330-3063",
            "fax_number": "402-334-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODL",
        "first_name": "CHERIE",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "15477",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36713",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200244",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "470833584",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "86956",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUALLY PREFERRED",
            "identifier": "NE1042",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVECARE",
            "identifier": "O10900916",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.