Organization Active NPI

Omegavision PC

Doing business as Schaffer & Schaffer Family Eye Care

  • Optometrist
  • Omaha, NE
National Provider Identifier
1487736500
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1016 Issued in NE
Legal business name
OMEGAVISION PC
Doing business as
Schaffer & Schaffer Family Eye Care
Practice address
16920 Wright PLZ
Suite 122
Omaha, NE 68130-4660
Phone
(402) 898-3937
NPI assigned
Oct 19, 2006
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Shannon C Schaffer, ODNPI 1881633717
Title
President
Phone
(402) 898-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1016 NE Primary

Addresses

Primary practice location

16920 Wright PLZ
Suite 122
Omaha, NE 68130-4660

Mailing address

16920 Wright PLZ
Suite 122
Omaha, NE 68130-4660
Phone (402) 898-3937

Other identifiers 4

IdentifierTypeStateIssuer
P00393695OtherNERR MEDICARE
10025388400MedicaidNE
10025388500MedicaidNE
410039188OtherNERR MEDICARE

Other names 1

  • Schaffer & Schaffer Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1487736500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 WRIGHT PLZ",
            "address_2": "SUITE 122",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304660",
            "telephone_number": "402-898-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 WRIGHT PLZ",
            "address_2": "SUITE 122",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304660",
            "telephone_number": "402-898-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGAVISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-898-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00393695",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025388400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025388500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410039188",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaffer & Schaffer Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.