Individual provider Active NPI

James Lawrence Quinn, OD

  • Optometrist
  • Nebraska City, NE
National Provider Identifier
1699775874
Registry record updated Nov 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
862 Issued in NE
Practice address
1012 Central Ave
Nebraska City, NE 68410-2337
Phone
(402) 873-7050
Fax
(402) 873-7050
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 862 NE Primary

Addresses

Primary practice location

1012 Central Ave
Nebraska City, NE 68410-2337

Mailing address

1012 Central Ave
Nebraska City, NE 68410-2337
Phone (402) 873-7050

Other identifiers 2

IdentifierTypeStateIssuer
0920249MedicaidIA
470637882 00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100130000162 NE Practitioner - Optometry 1557404514 Practice locations: Nebraska City, NE
O20100930047205 NE DME Supplier - Physician - Optometrist 3577680198 Practice locations: Nebraska City, NE

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1012 Central Ave
Nebraska City, NE 68410-2337
Phone (402) 873-7050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
862NEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258243200000",
    "number": "1699775874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CENTRAL AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102337",
            "telephone_number": "402-873-7050",
            "fax_number": "402-873-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CENTRAL AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102337",
            "telephone_number": "402-873-7050",
            "fax_number": "402-873-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920249",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470637882 00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebraska City, NE

Sources for this page

Verify at the official NPI Registry.