NPIMap

Organization Active NPI

Oculi Vision Rehabilitation, LLC

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1598816555
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2007023592 Issued in MO
Legal business name
OCULI VISION REHABILITATION, LLC
Practice address
1401 Infinity Rd Ste B
Lincoln, NE 68512-3713
Phone
(402) 420-1177
Fax
(402) 420-1176
NPI assigned
Jan 16, 2007
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
OCULI VISION REHABILITATION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. James L. Nedrow, O.D. (OPTOMETRIST)
Title
Chairman of the Board & Managing PR
Phone
(402) 420-1177

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2007023592 MO Primary
Low Vision Rehabilitation Optometrist 152WL0500X 2008026019 MO
Low Vision Rehabilitation Optometrist 152WL0500X 2007023592 MO
Low Vision Occupational Therapist 225XL0004X 2008004614 MO

Addresses

Primary practice location

1401 Infinity Rd Ste B
Lincoln, NE 68512-3713

Mailing address

1401 Infinity Rd Ste B
Lincoln, NE 68512-3713
Phone (402) 420-1177

Other names 1

  • Vision Recovery of America Former legal business name

National Provider Directory

National Provider Directory
Part of
Oculi Vision Rehabilitation LLC

Locations

11248 Strang Line Rd
Lenexa, KS 66215
Phone (913) 469-8686

2300 Holmes St
Fl 2
Kansas City, MO 64108
Phone (816) 404-1782

1401 Infinity Rd
Ste B
Lincoln, NE 68512
Phone (402) 420-1177

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1598816555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 INFINITY RD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123713",
            "telephone_number": "402-420-1177",
            "fax_number": "402-420-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 INFINITY RD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123713",
            "telephone_number": "402-420-1177",
            "fax_number": "402-420-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULI VISION REHABILITATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCULI VISION REHABILITATION, LLC",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "NEDROW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD & MANAGING PR",
        "authorized_official_telephone_number": "402-420-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D. (OPTOMETRIST)"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007023592",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "2008026019",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "2007023592",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "MO",
            "license": "2008004614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Recovery of America",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.