Expert Eyecare Westroads PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1064 Issued in NE

Legal business name

EXPERT EYECARE WESTROADS PC

Doing business as

Expert Eyecare Omaha

Practice address

12424 W Dodge Rd Ste 104
Omaha, NE 68154-2322

Phone

(531) 233-5680

Fax

(531) 215-0937

NPI assigned

Jun 29, 2010

Last updated

Sep 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Young, ODNPI 1700902822

Title

Owner

Phone

(531) 233-5860

Specialties & licenses 1

Addresses

Other names 1

• Expert Eyecare Omaha Doing business as

Locations

Practitioners 1

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.

• Michael Young, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1700902822
  Authorized official Same address or phone

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1437460052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 W DODGE RD STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542322",
            "telephone_number": "531-233-5680",
            "fax_number": "531-215-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 W DODGE RD STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542322",
            "telephone_number": "531-233-5680",
            "fax_number": "531-215-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT EYECARE WESTROADS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "531-233-5860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expert Eyecare Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.