Jedidiah Michael Burkey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1414 Issued in NE

Practice address

3010 E 23Rd St
Fremont, NE 68025-2479

Phone

(402) 727-0804

Fax

(402) 727-6102

NPI assigned

Jun 5, 2012

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Center Eye Care LLC

  • Optometrist
  • Fremont, NE
  • NPI 1962816124
  Medicare reassignment NPD Authorized official
• Heidi a Hanisch OD PC

  • Optometrist
  • Fremont, NE
  • NPI 1497079644
  NPD (past)

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1538420765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252479",
            "telephone_number": "402-727-0804",
            "fax_number": "402-727-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252479",
            "telephone_number": "402-727-0804",
            "fax_number": "402-727-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKEY",
        "first_name": "JEDIDIAH",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Buesing, PLMHP
• Kelsey Buhr
• Scott William Bunselmeyer, D.P.T.
• Brittany N Burbach, APRN
• Genie Jean Burgmeyer
• Michalla Burmester
• Hannah Burns
• Samuel Burns, LIMHP
• Lilly Bushlow
• Kael Gerhardt Busing, MSC, PLMHP

• Optometrist in Fremont, NE
• Providers in Fremont, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.

Verify at the official NPI Registry.