Organization Active NPI

Hastings Optometric Associates LLC

  • Optometrist
  • Hastings, NE
National Provider Identifier
1497358782
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HASTINGS OPTOMETRIC ASSOCIATES LLC
Practice address
3803 Osborne Dr W
Hastings, NE 68901-9139
Phone
(402) 463-0052
Fax
(402) 463-0219
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Jeremiah Dean Baumfalk, ODNPI 1497749204
Title
Optometrist
Phone
(402) 580-3608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3803 Osborne Dr W
Hastings, NE 68901-9139

Mailing address

8201 Russwood Cir
Lincoln, NE 68505-2737
Phone (402) 580-3608

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1497358782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 RUSSWOOD CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052737",
            "telephone_number": "402-580-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 OSBORNE DR W",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689019139",
            "telephone_number": "402-463-0052",
            "fax_number": "402-463-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS OPTOMETRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "BAUMFALK",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-580-3608",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.