Organization Active NPI

Gering Vision Center, P.C.

  • Optometrist
  • Gering, NE
National Provider Identifier
1437154705
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
789 Issued in NE
Legal business name
GERING VISION CENTER, P.C.
Practice address
1605 10TH St
Suite B
Gering, NE 69341-2409
Phone
(308) 436-3176
Fax
(308) 436-9105
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Steven Lee Wasserburger, O.D.
Title
Owner/President
Phone
(308) 436-3176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 789 NE Primary

Addresses

Primary practice location

1605 10TH St
Suite B
Gering, NE 69341-2409

Mailing address

1605 10TH St
Suite B
Gering, NE 69341-2409
Phone (308) 436-3176

Other identifiers 2

IdentifierTypeStateIssuer
36782OtherNEBLUE CROSS BLUE SHIELD
NE0789OtherNEEYEMED PROVIDER #

National Provider Directory

National Provider Directory

Locations

1605 10th St
Ste B
Gering, NE 69341
Phone (308) 436-3176

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1437154705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 10TH ST",
            "address_2": "SUITE B",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412409",
            "telephone_number": "308-436-3176",
            "fax_number": "308-436-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 10TH ST",
            "address_2": "SUITE B",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412409",
            "telephone_number": "308-436-3176",
            "fax_number": "308-436-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERING VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "WASSERBURGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "308-436-3176",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36782",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER #",
            "identifier": "NE0789",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.