Active NPI
Salute Vision Care
- Optometrist
- Offutt Afb, NE
National Provider Identifier
1427746403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vivianle Benson Freeman, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366439010 | Other | NE | VIVIANLE FREEMAN |
| 1427746403 | Other | NPI2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Offutt Afb, NE
- NPI 1366439010
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.