Active NPI
Superior Eye Care P.C.
- Optometrist
- Lincoln, NE
National Provider Identifier
1679012058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1424
- Legal business name
- SUPERIOR EYE CARE P.C.
- Practice address
- 4700 N 27TH St
Walmart Vision Center
Lincoln, NE 68521-1190 - Phone
- (402) 438-4386
- NPI assigned
- Feb 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Huy N Pham, O.D
- Title
- Optometrist
- Phone
- (402) 438-4386
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1424 | NE | Primary |
Addresses
Primary practice location
4700 N 27TH St
Walmart Vision Center
Lincoln, NE 68521-1190
Mailing address
4700 N 27TH St
Walmart Vision Center
Lincoln, NE 68521-1190
Phone (402) 438-4386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lincoln, NE
- NPI 1326454869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487289600000",
"number": "1679012058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N 27TH ST",
"address_2": "WALMART VISION CENTER",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211190",
"telephone_number": "402-438-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N 27TH ST",
"address_2": "WALMART VISION CENTER",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211190",
"telephone_number": "402-438-4386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR EYE CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "HUY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "402-438-4386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NE",
"license": "1424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.