NPIMap

Organization Active NPI

Eye Physicians, P.C.

  • Optometrist
  • Columbus, NE
National Provider Identifier
1497732895
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE PHYSICIANS, P.C.
Practice address
3772 43Rd Ave
Suite a
Columbus, NE 68601-1681
Phone
(402) 563-3688
Fax
(402) 564-1797
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
John Landers
Title
Practice Manager
Phone
(402) 563-3688

Specialties & licenses 1

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

Addresses

Primary practice location

3772 43Rd Ave
Suite a
Columbus, NE 68601-1681

Mailing address

PO Box 1275
Columbus, NE 68602-1275
Phone (402) 563-3688

Other identifiers 1

IdentifierTypeStateIssuer
02836OtherNEBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000251 NE Part B Supplier - Clinic/Group Practice 5698863579 Receives reassigned benefits from 7 practitioners
Practice locations: Columbus, NE; David City, NE; Fullerton, NE; Neligh, NE; Norfolk, NE

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2065454Eye Physicians PC3772 43Rd Avenue, Suite a, Columbus, NE 68601Certificate of waiverSep 8, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Physicians Columbus PC3772 43Rd Ave, Columbus, NE 68601-1681(402) 563-3686 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3772 43rd Ave
Columbus, NE 68601
Phone (402) 563-3686

3772 43rd Ave
Ste B
Columbus, NE 68601
Phone (402) 562-8795

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1497732895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021275",
            "telephone_number": "402-563-3688",
            "fax_number": "402-564-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 43RD AVE",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011681",
            "telephone_number": "402-563-3688",
            "fax_number": "402-564-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "402-563-3688"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "02836",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.