Active NPI
Brady Betten, O. D.
- Optometrist
- Omaha, NE
National Provider Identifier
1467844779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1415
- Practice address
- 9900 Nicholas St Ste 250
Omaha, NE 68114-2261 - Phone
- (402) 493-6500
- Fax
- (402) 493-4370
- NPI assigned
- Feb 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1415 | NE | Primary |
Addresses
Primary practice location
9900 Nicholas St Ste 250
Omaha, NE 68114-2261
Mailing address
9900 Nicholas St
Ste 250
Omaha, NE 68114-2261
Phone (402) 493-6500
Other practice location 1
415 W 3rd St
Yankton, SD 57078-4201
Phone (605) 665-9638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1415 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Specialists of Council Bluffs LLC | Optometrist | Past | Accepting new patients |
| Karen B Wilson OD PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Omaha, NE
- NPI 1275839359
-
- Optometrist
- Council Bluffs, IA
- NPI 1831377084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1467844779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 NICHOLAS ST",
"address_2": "STE 250",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142261",
"telephone_number": "402-493-6500",
"fax_number": "402-493-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 NICHOLAS ST STE 250",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142261",
"telephone_number": "402-493-6500",
"fax_number": "402-493-4370"
}
],
"practiceLocations": [
{
"address_1": "415 W 3rd St",
"address_purpose": "LOCATION",
"city": "Yankton",
"state": "SD",
"postal_code": "570784201",
"country_code": "US",
"telephone_number": "605-665-9638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETTEN",
"first_name": "BRADY",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-23",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.