Individual provider Active NPI

Annette Jurado Astuto, O.D.

  • Optometrist
  • La Vista, NE
National Provider Identifier
1689750747
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1270 Issued in NE
Practice address
7421 S 95TH St
La Vista, NE 68128-8234
Phone
(402) 408-9887
NPI assigned
Oct 31, 2006
Last updated
May 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 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

IdentifierTypeStateIssuer
10025829000MedicaidNE
47985OtherNEOPTUM HEALTH
64661OtherNEDAVIS VISION
35689OtherNEAVESIS

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
I20120918000263 NE Practitioner - Optometry 1355599283 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1270NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Eyenet, P.C. Optometrist CurrentSince Aug 23, 2012 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.

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

Verify at the official NPI Registry.