Individual provider Active NPI

Lexye Nichole Bruegman, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1629645437
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1542 Issued in NE
Practice address
6720 S 178TH St
Omaha, NE 68135-3055
Phone
(402) 235-5848
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 1542 NE Primary

Addresses

Primary practice location

6720 S 178TH St
Omaha, NE 68135-3055

Mailing address

432 Highland Dr
Gretna, NE 68028-7928
Phone (402) 417-8863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000198 NE Practitioner - Optometry 4183014491 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
Omaha Primary Eye Care, P.C.Group PAC ID 1456329465, 4 clinicians

Practice addresses (Care Compare)

1011 S 180TH St
Elkhorn, NE 68022-7044
Phone (402) 330-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Primary Eye Care, P.C. Optometrist CurrentSince Oct 2, 2022 Accepting new patients

Locations

1011 S 180th St
Elkhorn, NE 68022
Phone (402) 330-3000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1629645437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 HIGHLAND DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287928",
            "telephone_number": "402-417-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 S 178TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353055",
            "telephone_number": "402-235-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEGMAN",
        "first_name": "LEXYE",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.