Individual provider Active NPI

Joshua Wade Engel, O.D.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1679524755
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1182 Issued in NE
Practice address
3400 N 27TH St
Lincoln, NE 68521-1314
Phone
(402) 465-5577
Fax
(402) 465-0312
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1182 NE Primary

Addresses

Primary practice location

3400 N 27TH St
Lincoln, NE 68521-1314

Mailing address

1171 N Cotner Blvd
Lincoln, NE 68505-1835
Phone (402) 465-5577

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
I20050309000767 NE Practitioner - Optometry 4587618871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD PCGroup PAC ID 4587903786, 13 clinicians

Practice addresses (Care Compare)

1171 N Cotner Blvd
Lincoln, NE 68505-1835
Phone (402) 466-6070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
John H McDougall OD PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
Envision Eyecare Associates LLC Optometrist CurrentSince Dec 7, 2015 Accepting new patients

Locations

2005 Court St
Beatrice, NE 68310
Phone (402) 223-4098

1171 N Cotner Blvd
Lincoln, NE 68505
Phone (402) 466-6070

Organizations & group practices 3

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1679524755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051835",
            "telephone_number": "402-465-5577",
            "fax_number": "402-465-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211314",
            "telephone_number": "402-465-5577",
            "fax_number": "402-465-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "JOSHUA",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.