Organization Active NPI

Salute Vision Care

  • Optometrist
  • Offutt Afb, NE
National Provider Identifier
1427746403
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SALUTE VISION CARE
Practice address
106 Meyer Ave BLDG 166
Offutt Afb, NE 68113-2000
Phone
(402) 292-0396
Fax
(402) 292-2263
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Vivianle Benson Freeman, ODNPI 1366439010
Title
Optometrist
Phone
(402) 452-7854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

106 Meyer Ave BLDG 166
Offutt Afb, NE 68113-2000

Mailing address

3105 Sheridan Rd
Bellevue, NE 68123-5320
Phone (402) 452-7854

Other identifiers 2

IdentifierTypeStateIssuer
1366439010OtherNEVIVIANLE FREEMAN
1427746403OtherNPI2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230829000736 NE Part B Supplier - Clinic/Group Practice 0143683839 Receives reassigned benefits from 1 practitioner
Practice locations: Offutt Afb, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1427746403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 SHERIDAN RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235320",
            "telephone_number": "402-452-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEYER AVE BLDG 166",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681132000",
            "telephone_number": "402-292-0396",
            "fax_number": "402-292-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTE VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "VIVIANLE",
        "authorized_official_middle_name": "BENSON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-452-7854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVIANLE FREEMAN",
            "identifier": "1366439010",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1427746403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Offutt Afb, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.