Organization Active NPI

Lind Eye Care PC

  • Medical Specialty Clinic/Center
  • Kearney, NE
National Provider Identifier
1710004882
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
NE213 Issued in NE
Legal business name
LIND EYE CARE PC
Practice address
4107 7TH Ave
Kearney, NE 68845-1312
Phone
(308) 236-8500
Fax
(308) 236-8508
NPI assigned
Mar 23, 2007
Last updated
Dec 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Dr. Diana Marie Lind, DONPI 1124023312
Title
Physician
Phone
(308) 236-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NE213 NE Primary

Addresses

Primary practice location

4107 7TH Ave
Kearney, NE 68845-1312

Mailing address

4107 7TH Ave
Kearney, NE 68845-1312
Phone (308) 236-8500

Other identifiers 1

IdentifierTypeStateIssuer
10025136900MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013000952 NE Part B Supplier - Clinic/Group Practice 5991765018 Receives reassigned benefits from 4 practitioners
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

3811 29th Ave
Ste 1
Kearney, NE 68845
Phone (308) 236-8500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1710004882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 7TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451312",
            "telephone_number": "308-236-8500",
            "fax_number": "308-236-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 7TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451312",
            "telephone_number": "308-236-8500",
            "fax_number": "308-236-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIND EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "308-236-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NE",
            "license": "NE213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025136900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.