NPIMap

Organization Active NPI

Paul Patsalis, O.D. P.C.

Doing business as 20/20 Vision

  • Optometrist
  • Omaha, NE
National Provider Identifier
1629095377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1195 Issued in NE
Legal business name
PAUL PATSALIS, O.D. P.C.
Doing business as
20/20 Vision
Practice address
13471 W Center Rd
Omaha, NE 68144-3412
Phone
(402) 334-3937
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Patsalis, O.D.NPI 1679576102
Title
Pres.
Phone
(402) 334-3937

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)CodeLicenseStatePrimary
Optometrist 152W00000X 1195 NE Primary

Addresses

Primary practice location

13471 W Center Rd
Omaha, NE 68144-3412

Mailing address

13471 W Center Rd
Omaha, NE 68144-3412
Phone (402) 334-3937

Other names 1

  • 20/20 Vision Doing business as

National Provider Directory

National Provider Directory

Locations

13471 W Center Rd
Omaha, NE 68144
Phone (402) 334-3937

Practitioners & affiliated clinicians

Practitioners 1

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629095377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13471 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443412",
            "telephone_number": "402-334-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13471 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443412",
            "telephone_number": "402-334-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PATSALIS, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATSALIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "402-334-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.