Individual provider Active NPI

Jacob Oliver Weber, OD

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1447870258
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1533 Issued in NE
Practice address
3200 O St Ste a
Lincoln, NE 68510-1510
Phone
(402) 475-9113
Fax
(402) 475-8084
NPI assigned
Apr 22, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 099902 IA
Optometrist 152W00000X 1533 NE Primary

Addresses

Primary practice location

3200 O St Ste a
Lincoln, NE 68510-1510

Mailing address

201 N Main St
Denison, IA 51442-1373
Phone (712) 263-2020

Other practice location 1

201 N Main St
Denison, IA 51442-1373
Phone (712) 263-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001489 NE Practitioner - Optometry 1850719899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Eyecare Center LLCGroup PAC ID 0244125235, 20 clinicians

Practice addresses (Care Compare)

3200 O St
Suite a
Lincoln, NE 68510-1510
Phone (402) 475-9113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1533NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
International Eyecare Center Inc Optometrist CurrentSince Mar 18, 2024 Accepting new patients
International Eyecare Center LLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients
International Eyecare Center, Inc. Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients

Locations

308 N 48th St
Ste 103
Lincoln, NE 68504
Phone (402) 475-9113

3200 O St
Ste A
Lincoln, NE 68510
Phone (402) 475-9113

10114 Maple St
#1070
Omaha, NE 68134
Phone (402) 391-6600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1447870258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421373",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 O ST STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101510",
            "telephone_number": "402-475-9113",
            "fax_number": "402-475-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Main St",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "IA",
            "postal_code": "514421373",
            "country_code": "US",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JACOB",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-09-29",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "099902",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.