Organization Active NPI

Family Vision Center, PC

  • Optometrist
  • Oakland, NE
National Provider Identifier
1699852756
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
767 Issued in NE
Legal business name
FAMILY VISION CENTER, PC
Practice address
221 N Oakland Ave
Oakland, NE 68045-1338
Phone
(402) 685-5081
NPI assigned
Nov 1, 2006
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Dean L Lauritzen, O.D.
Title
Owner
Phone
(402) 625-5081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 767 NE
Optometrist 152W00000X 767 NE Primary

Addresses

Primary practice location

221 N Oakland Ave
Oakland, NE 68045-1338

Mailing address

221 N Oakland Ave
Oakland, NE 68045-1338
Phone (402) 685-5081

Other identifiers 3

IdentifierTypeStateIssuer
25136OtherNEOAKLAND CONVENTRY PAYOR
7748OtherNEOAKLAND BLUE CROSS
8422OtherNEOAKLAND MIDLANDS CHOICE

National Provider Directory

National Provider Directory

Locations

101 W Decatur St
West Point, NE 68788
Phone (402) 372-3266

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1699852756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N OAKLAND AVE",
            "city": "OAKLAND",
            "state": "NE",
            "postal_code": "680451338",
            "telephone_number": "402-685-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N OAKLAND AVE",
            "city": "OAKLAND",
            "state": "NE",
            "postal_code": "680451338",
            "telephone_number": "402-685-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LAURITZEN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-625-5081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "767",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OAKLAND CONVENTRY PAYOR",
            "identifier": "25136",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OAKLAND BLUE CROSS",
            "identifier": "7748",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OAKLAND MIDLANDS CHOICE",
            "identifier": "8422",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.