NPIMap

Organization Active NPI

Midwest Eye Care PC

Doing business as 28th Street Optical

  • Optician
  • Fremont, NE
National Provider Identifier
1669585196
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
15441 Issued in NE
Legal business name
MIDWEST EYE CARE PC
Doing business as
28th Street Optical
Practice address
2827 N Clarkson St
Fremont, NE 68025-7714
Phone
(402) 721-7222
Fax
(402) 721-2473
NPI assigned
Aug 17, 2006
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Calla Pappas
Title
HR Manager
Phone
(402) 552-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 15441 NE Primary

Addresses

Primary practice location

2827 N Clarkson St
Fremont, NE 68025-7714

Mailing address

2827 N Clarkson St
Fremont, NE 68025-7714
Phone (402) 721-7222

Other names 1

  • 28th Street Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Eye Care PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2012 Cornhusker Rd
Ste 400
Bellevue, NE 68123

2827 N Clarkson St
Fremont, NE 68025
Phone (402) 721-2473

540 E 28th St
Fremont, NE 68025
Phone (402) 721-9494

2727S 114TH St 280
Omaha, NE 68144

1112 W 7th St
Wayne, NE 68787
Phone (402) 375-5160

215 W 2nd St
Wayne, NE 68787
Phone (402) 375-5160

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1669585196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257714",
            "telephone_number": "402-721-7222",
            "fax_number": "402-721-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257714",
            "telephone_number": "402-721-7222",
            "fax_number": "402-721-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "CALLA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "402-552-2020"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NE",
            "license": "15441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "28th Street Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.