Individual provider Active NPI

Harold R Bares, MD

  • Ophthalmology Physician
  • Bellevue, NE
National Provider Identifier
1699728618
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15333 Issued in NE
Practice address
1103 Galvin Rd S
Suite H
Bellevue, NE 68005-3002
Phone
(402) 292-6514
Fax
(402) 292-7122
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15333 NE Primary

Addresses

Primary practice location

1103 Galvin Rd S
Suite H
Bellevue, NE 68005-3002

Mailing address

1103 Galvin Rd S
Bellevue, NE 68005-3002
Phone (402) 292-6514

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000039 NE Practitioner - Ophthalmology 2769493154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists PC CurrentSince Jan 1, 1995 Accepting new patients
Heartland Cataract & Laser Surgery Center, Inc. Ophthalmology PastSince Feb 7, 2006 Accepting new patients

Locations

1103 Galvin Rd S
Bellevue, NE 68005
Phone (402) 292-3642

1103 Galvin Rd S
Ste H
Bellevue, NE 68005
Phone (402) 292-6514

7710 Mercy Rd
Ste 322
Omaha, NE 68124
Phone (402) 292-6514

916 Washington Ave
Plattsmouth, NE 68048
Phone (402) 296-3488

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1699728618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053002",
            "telephone_number": "402-292-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S",
            "address_2": "SUITE H",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053002",
            "telephone_number": "402-292-6514",
            "fax_number": "402-292-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARES",
        "first_name": "HAROLD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "15333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.