Active NPI
Pioneer Family Eyecare, PC
- Optometrist
- Lincoln, NE
National Provider Identifier
1558097675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PIONEER FAMILY EYECARE, PC
- Practice address
- 4101 Pioneer Woods Dr Ste 102
Lincoln, NE 68506-7567 - Phone
- (531) 249-5457
- NPI assigned
- Jul 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Gibson, OD
- Title
- Optometrist/Owner
- Phone
- (402) 617-8306
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4101 Pioneer Woods Dr Ste 102
Lincoln, NE 68506-7567
Mailing address
4101 Pioneer Woods Dr Ste 102
Lincoln, NE 68506-7567
Phone (531) 249-5457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220823002802 | NE | Part B Supplier - Clinic/Group Practice | 8426431420 |
Receives reassigned benefits from 1 practitioner Practice locations: Lincoln, NE |
National Provider Directory
National Provider DirectoryLocations
4101 Pioneer Woods Dr
Ste 102
Lincoln, NE 68506
Phone (402) 488-7246
Practitioners & affiliated clinicians
Practitioners 1
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": "1659052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1558097675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 PIONEER WOODS DR STE 102",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067567",
"telephone_number": "531-249-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 PIONEER WOODS DR STE 102",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067567",
"telephone_number": "531-249-5457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER FAMILY EYECARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-29",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "402-617-8306",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.