Active NPI
Cherie S Lodl, O.D.
- Optometrist
- Omaha, NE
National Provider Identifier
1427052125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1042
- 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, 2008
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15477 | Other | NE | SPECTERA |
| 36713 | Other | NE | BLUE CROSS BLUE SHIELD |
| 2200244 | Other | NE | UNITED HEALTHCARE |
| 470833584 | Other | NE | TAX IDENTIFICATION NUMBER |
| 86956 | Other | NE | COVENTRY |
| NE1042 | Other | NE | MUTUALLY PREFERRED |
| O10900916 | Other | NE | EXCLUSIVECARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millard Family Eyecare, P.C. | Optometrist | Current | Accepting new patients |
| Millard Family Eyecare, P.C. | Optometrist | Current | 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.
-
- Optometrist
- Omaha, NE
- NPI 1669522728
-
- Optometrist
- Omaha, NE
- NPI 1669621694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.