NPIMap

Organization Active NPI

Kearney Eye Institute, P.C.

Doing business as Grand Island Eye Institute

  • Ophthalmology Physician
  • Kearney, NE
National Provider Identifier
1437218476
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KEARNEY EYE INSTITUTE, P.C.
Doing business as
Grand Island Eye Institute
Practice address
411 W 39TH St.
Kearney, NE 68845
Phone
(308) 865-2760
Fax
(308) 865-2769
NPI assigned
Dec 6, 2006
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Jill Elliott
Title
Business Manager
Phone
(308) 865-2760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

411 W 39TH St.
Kearney, NE 68845

Mailing address

411 W 39TH St.
Kearney, NE 68845
Phone (308) 865-2760

Other identifiers 1

IdentifierTypeStateIssuer
01975OtherNEBCBS #

Other names 1

  • Grand Island Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040503000478 NE Part B Supplier - Clinic/Group Practice 7315935186 Receives reassigned benefits from 7 practitioners
Practice locations: Holdrege, NE; Minden, NE; McOok, NE; McCook, NE; Lexington, NE; Kearney, NE; Grand Island, NE; Cozad, NE…
O20100930024934 NE DME Supplier - Physician - Ophthalmology 7315935186 Practice locations: Kearney, NE

National Provider Directory

National Provider Directory
Tax ID family
Kearney Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1437218476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY EYE INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-04-09",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "308-865-2760"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "01975",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Island Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.