Active NPI
Brett A Monson, O.D.
- Optometrist
- Omaha, NE
National Provider Identifier
1588669295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 936
- Practice address
- 5011 Grover St
Omaha, NE 68106-3830 - Phone
- (402) 553-1999
- Fax
- (402) 553-1930
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 936 | NE | Primary |
Addresses
Primary practice location
5011 Grover St
Omaha, NE 68106-3830
Mailing address
5011 Grover St
Omaha, NE 68106-3830
Phone (402) 553-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470874147 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 936 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1588669295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 GROVER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063830",
"telephone_number": "402-553-1999",
"fax_number": "402-553-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 GROVER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063830",
"telephone_number": "402-553-1999",
"fax_number": "402-553-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSON",
"first_name": "BRETT",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470874147",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.