Individual provider Active NPI

Emily Joann Wietfeld, O.D.

  • Optometrist
  • West Point, NE
National Provider Identifier
1609447986
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1541 Issued in NE
Practice address
101 W Decatur St
West Point, NE 68788-1407
Phone
(402) 317-0995
Fax
(402) 372-5736
NPI assigned
Jul 7, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1541 NE Primary

Addresses

Primary practice location

101 W Decatur St
West Point, NE 68788-1407

Mailing address

101 W Decatur St
West Point, NE 68788-1407
Phone (402) 317-0995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210806001906 NE Practitioner - Optometry 4587068978 Reassigns benefits to 1 organization
I20250723002707 TX Practitioner - Optometry 4587068978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Eyecare PCGroup PAC ID 2567695786, 2 clinicians
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

101 W Decatur St
West Point, NE 68788-1407
Phone (402) 372-3266

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as group
Quality
83.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Tribe of Nebraska Current Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2025 Accepting new patients
Northeast Eyecare PC Optometrist CurrentSince Jul 15, 2021 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2025 Accepting new patients
Northeast Eye Care, PC Optometrist CurrentSince Jul 15, 2021 Accepting new patients
Family Vision Center, PC Optometrist Past Accepting new patients

Locations

221 N Oakland Ave
Oakland, NE 68045
Phone (402) 380-9818

101 W Decatur St
West Point, NE 68788
Phone (402) 372-3266

435 N Monitor St
West Point, NE 68788
Phone (402) 372-3266

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1609447986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W DECATUR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881407",
            "telephone_number": "402-317-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DECATUR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881407",
            "telephone_number": "402-317-0995",
            "fax_number": "402-372-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETFELD",
        "first_name": "EMILY",
        "middle_name": "JOANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NE

Sources for this page

Verify at the official NPI Registry.