NPIMap

Organization Active NPI

Wise Eyecare LLC

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1649310350
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1124 Issued in NE
Legal business name
WISE EYECARE LLC
Doing business as
Complete Family Eyecare
Practice address
1501 Pine Lake Rd
Suite 1
Lincoln, NE 68512-3692
Phone
(402) 421-7773
Fax
(402) 421-7859
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Ellen Last
Title
Optician
Phone
(402) 421-7773

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1124 NE Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 1124 NE
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 1124 NE
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 1123 NE
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 1124 NE

Addresses

Primary practice location

1501 Pine Lake Rd
Suite 1
Lincoln, NE 68512-3692

Mailing address

1501 Pine Lake Rd
Suite 1
Lincoln, NE 68512-3692
Phone (402) 421-7773

Other names 1

  • Complete Family Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

7933 S 15th St
Lincoln, NE 68512
Phone (402) 420-0880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1649310350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD",
            "address_2": "SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-7773",
            "fax_number": "402-421-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PINE LAKE RD",
            "address_2": "SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123692",
            "telephone_number": "402-421-7773",
            "fax_number": "402-421-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "LAST",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "402-421-7773"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1124",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NE",
            "license": "1124",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "NE",
            "license": "1124",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "NE",
            "license": "1123",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "1124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2009; 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.