Oneill Family Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ONEILL FAMILY EYECARE PC

Practice address

612 N 4TH St
Oneill, NE 68763-1326

Phone

(402) 336-2220

Fax

(402) 336-4845

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Philip Lyle Gildersleeve, O.D.NPI 1740388990

Title

President

Phone

(402) 336-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Philip Lyle Gildersleeve, O.D.

  • Optometrist
  • O'Neill, NE
  • NPI 1740388990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1437200961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N 4TH ST",
            "address_2": "P.O. BOX 818",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631326",
            "telephone_number": "402-336-2220",
            "fax_number": "402-336-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 4TH ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631326",
            "telephone_number": "402-336-2220",
            "fax_number": "402-336-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEILL FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "GILDERSLEEVE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-336-2220",
        "authorized_official_credential": "O.D."
    },
    "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": "RR MEDICARE",
            "identifier": "DG0428",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O'Neill Public School
• O'Neill Senior Living, LLC (Country Lane Retirement village)
• Oasis Counseling International
• Kacey Ollendick
• Alison Marie Olson, PTA
• Oneill Family Pharmacy Inc (O'Neill Family Pharmacy)
• Oneill SL Inc (Country Lane Retirement Village)
• David H Osborne
• Jennifer Osborne, RDH
• Kathleen Owens

• Optometrist in O'Neill, NE
• Providers in O'Neill, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.