Individual provider Active NPI

Carol Ann Drake, M.D.

  • Ophthalmology Physician
  • Omaha, NE
National Provider Identifier
1528060860
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16274 Issued in NE
Practice address
8111 Dodge St
Ste 143
Omaha, NE 68114-4100
Phone
(402) 354-5980
Fax
(402) 354-5973
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16274 NE Primary

Addresses

Primary practice location

8111 Dodge St
Ste 143
Omaha, NE 68114-4100

Mailing address

8111 Dodge St
Ste 143
Omaha, NE 68114-4100
Phone (402) 354-5980

Other identifiers 2

IdentifierTypeStateIssuer
10025058900MedicaidNE
3992081MedicaidIA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000384 NE Practitioner - Ophthalmology 4183526197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Eye Associates PCGroup PAC ID 3779485776, 4 clinicians

Practice addresses (Care Compare)

8111 Dodge St
Suite 143
Omaha, NE 68114-4100
Phone (402) 354-8111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Eye Associates PC Ophthalmology CurrentSince Jan 1, 2004 Accepting new patients
Physicians Clinic Inc Past Accepting new patients

Locations

8111 Dodge St
Ste 138
Omaha, NE 68114

8111 Dodge St
Ste 143
Omaha, NE 68114
Phone (402) 354-8111

8111 Dodge St
Ste 220
Omaha, NE 68114
Phone (402) 354-1320

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528060860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST",
            "address_2": "STE 143",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144100",
            "telephone_number": "402-354-5980",
            "fax_number": "402-354-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST",
            "address_2": "STE 143",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144100",
            "telephone_number": "402-354-5980",
            "fax_number": "402-354-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "16274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025058900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3992081",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.