NPIMap

Organization Active NPI

Moderneyes Eyecare & Eyewear, PC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1699124958
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1398 Issued in NE
Legal business name
MODERNEYES EYECARE & EYEWEAR, PC
Doing business as
ModernEYES Eyecare & Eyewear
Practice address
19060 Q St
Suite 107
Omaha, NE 68135-1503
Phone
(402) 616-6319
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Kristin Ann Reed, OD, FAAONPI 1720420961
Title
President/Optometrist
Phone
(402) 807-3937

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1398 NE Primary

Addresses

Primary practice location

19060 Q St
Suite 107
Omaha, NE 68135-1503

Mailing address

19060 Q St Ste 107
Omaha, NE 68135-1504
Phone (402) 807-3937

Other names 1

  • ModernEYES Eyecare & Eyewear Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170217000717 NE Part B Supplier - Clinic/Group Practice 2961785944 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

19060 Q St
Ste 107
Omaha, NE 68135
Phone (402) 616-6319

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1699124958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19060 Q ST STE 107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351504",
            "telephone_number": "402-807-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19060 Q ST",
            "address_2": "SUITE 107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351503",
            "telephone_number": "402-616-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERNEYES EYECARE & EYEWEAR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "402-807-3937",
        "authorized_official_credential": "OD, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ModernEYES Eyecare & Eyewear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ModernEYES Eyecare & Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.

Verify at the official NPI Registry.