Wayne Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2439 Issued in IA

Legal business name

WAYNE EYE CARE PC

Doing business as

Sergeant Bluff Eyecare
Wayne Eye Care

Practice address

313 Main St
Wayne, NE 68787-1925

Phone

(402) 375-2020

NPI assigned

Mar 5, 2018

Last updated

Jan 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Louise Vandekop

Title

Practice Manager

Phone

(712) 943-9400

Specialties & licenses 4

Addresses

Other names 2

• Sergeant Bluff Eyecare Doing business as
• Wayne Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katelyn Jean Kudrna, O.D.

  • Optometrist
  • Sergeant Bluff, IA
  • NPI 1871332973

  NE

  Medicare reassignment Care Compare group NPD
• Tyler Dean Lefeber, OD

  • Optometrist
  • Sergeant Bluff, IA
  • NPI 1376071811

  NE

  Medicare reassignment Care Compare group NPD
• Benjamin Alan Uhl, O.D.

  • Optometrist
  • Sergeant Bluff, IA
  • NPI 1437311792

  NE

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1699277855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GAUL DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548963",
            "telephone_number": "712-943-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871925",
            "telephone_number": "402-375-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "VANDEKOP",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "712-943-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2439",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1477",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "087587",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sergeant Bluff Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wayne Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Angelica Vergara
• Amanda Vick
• Julia Helen Vilkas
• Corinne Volk
• Hayden Wallace
• Wayne Public Schools
• Wayne Senior Center
• Wayne Sport & Spine, P.C.
• Wayne Sport and Spine Center, LLC (Wayne Sport & Spine)
• Wayne Sport and Spine, PC

• Optometrist in Wayne, NE
• Providers in Wayne, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.