Eyenet, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1270 Issued in NE

Legal business name

EYENET, P.C.

Practice address

12850 L St
Store 5361
Omaha, NE 68137-2078

Phone

(402) 697-1852

Fax

(402) 697-4834

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 2012By 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. Annette Jurado Astuto, O.D.NPI 1689750747

Title

Optometrist/Owner/President

Phone

(402) 707-0887

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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.

• Annette Jurado Astuto, O.D.

  • Optometrist
  • La Vista, NE
  • NPI 1689750747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1457612756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 S 95TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681288234",
            "telephone_number": "402-707-0887",
            "fax_number": "402-997-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 L ST",
            "address_2": "STORE 5361",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372078",
            "telephone_number": "402-697-1852",
            "fax_number": "402-697-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYENET, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "ASTUTO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "JURADO",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-707-0887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025829000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exquisite Supportive Home Care LLC
• Eye Care West, P.C.
• Eye Consultants PC
• Eye Essentials, Inc.
• Eyemart Express LLC
• Eyeoptics LLC
• Lindsay Michelle Eyer
• Eyewear Innovations Inc.
• Allyson M Eymann, APRN
• Erin Elizabeth Ezell

• 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 Jun 4, 2012; 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.