Active NPI
Jeremiah D Baumfalk, O.D.
- Optometrist
- Lincoln, NE
National Provider Identifier
1497749204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1214
- Practice address
- 651 N 66TH St
Suite 300
Lincoln, NE 68505-2478 - Phone
- (402) 464-3156
- Fax
- (402) 464-1214
- NPI assigned
- Sep 7, 2005
- 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 | 1214 | NE | Primary |
Addresses
Primary practice location
651 N 66TH St
Suite 300
Lincoln, NE 68505-2478
Mailing address
651 N 66TH St
Suite 300
Lincoln, NE 68505-2478
Phone (402) 464-3156
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728000887 | NE | Practitioner - Optometry | 3870492523 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
739 W 10TH St a
Wahoo Vision Center
Wahoo, NE 68066-1133
Phone (402) 443-3168
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.3 of 100
- Quality
- 94.59
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 391 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Vision Center, PC | Optometrist | Current | Accepting new patients |
| Hastings Optometric Associates LLC | Optometrist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Past | Accepting new patients |
Locations
651 N 66th St
Ste 100
Lincoln, NE 68505
Phone (402) 466-1916
739 W 10th St
Ste A
Wahoo, NE 68066
Phone (402) 443-3168
Interoperability endpoints
- jeremiah.baumfalk@direct.revolutionehr.com
Organizations & group practices 3
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
- Hastings, NE
- NPI 1497358782
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1497749204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 N 66TH ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052478",
"telephone_number": "402-464-3156",
"fax_number": "402-464-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 N 66TH ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052478",
"telephone_number": "402-464-3156",
"fax_number": "402-464-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMFALK",
"first_name": "JEREMIAH",
"middle_name": "D",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.