Individual provider Active NPI

Jared Nathan Holthaus, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1689237356
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1501 Issued in NE
Practice address
9900 Nicholas St Ste 250
Omaha, NE 68114-2261
Phone
(402) 493-6500
Fax
(402) 493-4370
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1501 NE Primary

Addresses

Primary practice location

9900 Nicholas St Ste 250
Omaha, NE 68114-2261

Mailing address

3505 N 175TH PLZ Apt 106
Omaha, NE 68116-2795
Phone (316) 218-2665

Other practice location 1

625 N. 98th St
Omaha, NE 68114
Phone (402) 397-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813002577 NE Practitioner - Optometry 4082941018 Reassigns benefits to 3 organizations
I20230124000606 KS Practitioner - Optometry 4082941018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Optometry, P.a.Group PAC ID 2567541451, 11 clinicians
Heartland Eye Consultants LLCGroup PAC ID 3577566983, 5 clinicians

Practice addresses (Care Compare)

2635 W Douglas Ave
Wichita, KS 67213-2605
Phone (316) 942-7496

9900 Nicholas St
Suite 250
Omaha, NE 68114-2261
Phone (402) 493-6500

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
80.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1501NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Optometry P.a. Optometrist CurrentSince Mar 15, 2023 Accepting new patients
Heartland Eye Consultants LLC Optometrist CurrentSince Sep 5, 2025 Accepting new patients
Focused Eye Care PC Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Wichita Optometry, P.a. Optometrist CurrentSince Mar 15, 2023 Accepting new patients
Vision Specialists of Omaha LLC Optometrist CurrentSince Jan 28, 2022 Accepting new patients
Focused Eye Care Past Accepting new patients
Invisions, PC PastSince Jul 2, 2019 Accepting new patients
Vision Specialists of Council Bluffs LLC Optometrist PastSince Jan 28, 2022 Accepting new patients

Locations

415 SE Louis Dr
Mulvane, KS 67110
Phone (316) 777-0022

2330 N Amidon Ave
Wichita, KS 67204
Phone (316) 838-7797

2635 W Douglas Ave
Wichita, KS 67213
Phone (316) 942-7496

8150 E Douglas Ave
Ste 50
Wichita, KS 67206
Phone (316) 681-0991

7827 Dodge St
Omaha, NE 68114
Phone (402) 390-2000

9900 Nicholas St
Ste 250
Omaha, NE 68114
Phone (402) 493-4370

3606 N 156th St
Ste 105
Omaha, NE 68116
Phone (402) 205-0754

Interoperability endpoints

  • Direct secure messaging: jared.holthaus@direct.revolutionehr.com

Organizations & group practices 8

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1689237356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N 175TH PLZ APT 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162795",
            "telephone_number": "316-218-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-6500",
            "fax_number": "402-493-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N. 98th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68114",
            "country_code": "US",
            "telephone_number": "402-397-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "JARED",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.