Alexander George Donovan

Primary specialty

OptometristTaxonomy code 152W00000X

License

1570 Issued in NE

Practice address

15340 Weir St
Omaha, NE 68137-5005

Phone

(402) 932-9222

NPI assigned

Apr 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alex George Donovan Other name

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bruce H Brumm MD PCGroup PAC ID 7315916186, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.22 of 100Reported as group

Quality

99.55

Improvement activities

40

Cost

74.66

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexd@brummeye.emadirect.md

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

• Bruce H Brumm MD PC

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1750393294
  Medicare reassignment Care Compare group NPD
• Millard Vision Center

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1891926945
  Medicare reassignment NPD
• A.N. Louis, O.D., P.C.

  • Optometrist
  • La Vista, NE
  • NPI 1487059648
  NPD (past)
• Bruce H Brumm MD PC

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1508878075
  NPD (past)

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1457971103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S 159TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182139",
            "telephone_number": "402-350-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 WEIR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375005",
            "telephone_number": "402-932-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2394 H G Mosley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756043661",
            "country_code": "US",
            "telephone_number": "903-234-0771",
            "fax_number": "903-234-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ALEXANDER",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10029T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "DONOVAN",
            "middle_name": "GEORGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ann M Donnelly-Haasch, CRNA
• Brooke Elizabeth Donnelly
• Melissa Sue Donnelly, PA-C
• Toni Marie Donohoe
• Kristina-Noel Donohue
• Kilie Jean Donovan, M.D.
• Laura M Donovan, APRN
• Lindsay Anne Donovan, PTA
• Margaret A. Donovan, PH.D.
• Megan Donovan, LPCC

• 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 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.