Organization Active NPI

Gleason-Janky Eye Physicians PC

  • Ophthalmology Physician
  • Grand Island, NE
National Provider Identifier
1447254982
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19617 Issued in NE
Legal business name
GLEASON-JANKY EYE PHYSICIANS PC
Practice address
611 N Diers Ave
Ste 2
Grand Island, NE 68803-4960
Phone
(308) 381-4733
Fax
(308) 381-6462
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Michele L. Gleason, M.D.NPI 1043214588
Title
Owner
Phone
(308) 381-4733

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 19617 NE Primary

Addresses

Primary practice location

611 N Diers Ave
Ste 2
Grand Island, NE 68803-4960

Mailing address

611 N Diers Ave
Ste 2
Grand Island, NE 68803-4960
Phone (308) 381-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100126000174 NE Part B Supplier - Clinic/Group Practice 2769524081 Receives reassigned benefits from 2 practitioners
Practice locations: Central City, NE; Grand Island, NE; Ord, NE; Saint Paul, NE; Aurora, NE

National Provider Directory

National Provider Directory

Locations

611 N Diers Ave
Ste 2
Grand Island, NE 68803
Phone (308) 381-4733

1501 M St
Ord, NE 68862
Phone (308) 728-3229

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1447254982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N DIERS AVE",
            "address_2": "STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034960",
            "telephone_number": "308-381-4733",
            "fax_number": "308-381-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N DIERS AVE",
            "address_2": "STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034960",
            "telephone_number": "308-381-4733",
            "fax_number": "308-381-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEASON-JANKY EYE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-381-4733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "19617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.