Holdrege Family Vision Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

831 AND 904 Issued in NE

Legal business name

HOLDREGE FAMILY VISION CLINIC PC

Practice address

503 McMillan St
Holdrege, NE 68949-2052

Phone

(308) 995-8697

Fax

(308) 995-6931

NPI assigned

Jun 15, 2005

Last updated

Apr 20, 2008By 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

Dr. Wayne E Quincy, O.D.NPI 1386649531

Title

Pres Optometrist

Phone

(308) 995-8697

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

Tax ID family

Holdrege Family Vision Clinic PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Holdrege Family Vision Clinic PC

  • Eyewear Supplier
  • Holdrege, NE
  • NPI 1265529150
  NPD tax ID
• Holdrege Family Vision Clinic PC

  dba Family Vision

  • Optometrist
  • Alma, NE
  • NPI 1477870939
  NPD tax ID

Practitioners 6

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.

• Brett Jamas Hytrek, O.D.

  • Optometrist
  • Holdrege, NE
  • NPI 1184954927
  Medicare reassignment Care Compare group NPD
• Walter Craig McCormick, OD

  • Optometrist
  • Holdrege, NE
  • NPI 1992700140
  Medicare reassignment Care Compare group NPD
• Wayne Eugene Quincy, OD

  • Optometrist
  • Holdrege, NE
  • NPI 1386649531
  Authorized official Same address or phone
• Carla Jane Ericksen, O.D.

  • Optometrist
  • Lincoln, NE
  • NPI 1851434153
  NPD (past)
• Courtney A Kness, O.D.

  • Optometrist
  • Holdrege, NE
  • NPI 1013295252
  NPD (past)
• Robin L Schutt, O.D.

  • Optometrist
  • Hastings, NE
  • NPI 1114983921
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700881968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697",
            "fax_number": "308-995-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697",
            "fax_number": "308-995-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDREGE FAMILY VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "QUINCY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES OPTOMETRIST",
        "authorized_official_telephone_number": "308-995-8697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "831 AND 904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "070602",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Mark Hohman, DDS
• Isaac Mark Hohman, DDS
• Holdrege Dental Arts
• Holdrege Family Dental, L.L.C
• Holdrege Family Vision Clinic PC
• Holdrege Medical Clinic, P.C. (Family Medical Specialties)
• Holdrege Medical Clinic, P.C.
• Holdrege Memorial Homes, Inc.
• Holdrege Physical Therapy and Sports Rehab
• Holdrege Public Schools

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.