Organization Active NPI

Nancy a Dob, OD, PC

Doing business as Mid America Vision Center

  • Optometrist
  • York, NE
National Provider Identifier
1649222936
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NANCY A DOB, OD, PC
Doing business as
Mid America Vision Center
Practice address
625 N Lincoln Ave
York, NE 68467-2946
Phone
(402) 362-3313
Fax
(402) 362-1533
NPI assigned
May 16, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Nancy A. Dob, O.D.NPI 1487613550
Title
Owner
Phone
(402) 362-3313

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 NU Primary

Addresses

Primary practice location

625 N Lincoln Ave
York, NE 68467-2946

Mailing address

625 Lincoln Ave
PO Box 238
York, NE 68467-2946
Phone (402) 362-3313

Other names 1

  • Mid America Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050120000948 NE Part B Supplier - Clinic/Group Practice 1052360633 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Geneva, NE; York, NE
O20100930075401 NE DME Supplier - Physician - OptometristDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Optician 1052360633 Practice locations: York, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nancy a Dob, OD PC625 N Lincoln Ave, York, NE 68467-2946(402) 362-3313 Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1996

National Provider Directory

National Provider Directory
Tax ID family
Mid America Vision Cent2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1004 G St
Geneva, NE 68361
Phone (402) 759-4536

Practitioners & affiliated clinicians

Practitioners 4

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1649222936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "PO BOX 238",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672946",
            "telephone_number": "402-362-3313",
            "fax_number": "402-362-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672946",
            "telephone_number": "402-362-3313",
            "fax_number": "402-362-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A DOB, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "DOB",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-362-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid America Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.