Active NPI
Annette Jurado Astuto, O.D.
- Optometrist
- La Vista, NE
National Provider Identifier
1689750747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1270
- Practice address
- 7421 S 95TH St
La Vista, NE 68128-8234 - Phone
- (402) 408-9887
- NPI assigned
- Oct 31, 2006
- Last updated
- May 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1270 | NE | Primary |
Addresses
Primary practice location
7421 S 95TH St
La Vista, NE 68128-8234
Mailing address
7421 S 95TH St
La Vista, NE 68128-8234
Phone (402) 408-9887
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025829000 | Medicaid | NE | |
| 47985 | Other | NE | OPTUM HEALTH |
| 64661 | Other | NE | DAVIS VISION |
| 35689 | Other | NE | AVESIS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12850 L St
Omaha, NE 68137-2078
Phone (402) 697-1852
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyenet, P.C. | Optometrist | Current | Accepting new patients |
| Carteret Optometry | Optometrist | Past | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Past | Accepting new patients |
Locations
12515 Portside Pkwy
La Vista, NE 68128
Phone (402) 378-7408
12850 L St
Omaha, NE 68137
Phone (402) 697-1742
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Omaha, NE
- NPI 1457612756
-
- Optometrist
- Morehead City, NC
- NPI 1265485254
-
- Optometrist
- Swansboro, NC
- NPI 1427006188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1689750747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 S 95TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681288234",
"telephone_number": "402-408-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 S 95TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681288234",
"telephone_number": "402-408-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTUTO",
"first_name": "ANNETTE",
"middle_name": "JURADO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025829000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM HEALTH",
"identifier": "47985",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "64661",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "35689",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.