Organization Active NPI

Optometric Center of Columbus, P.C.

  • Optometrist
  • Columbus, NE
National Provider Identifier
1710178892
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
866 Issued in NE
Legal business name
OPTOMETRIC CENTER OF COLUMBUS, P.C.
Practice address
3702 23Rd St
Columbus, NE 68601-3023
Phone
(402) 564-2020
Fax
(402) 563-2020
NPI assigned
Aug 5, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Jay R Trofholz, O.D.NPI 1881680486
Title
President
Phone
(402) 564-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 866 NE Primary
Optometrist 152W00000X 945 NE

Addresses

Primary practice location

3702 23Rd St
Columbus, NE 68601-3023

Mailing address

3702 23Rd St
Columbus, NE 68601-3023
Phone (402) 564-2020

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100326000982 NE Part B Supplier - Clinic/Group Practice 8527194752 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, NE
O20100930013147 NE DME Supplier - Physician - Optometrist 8527194752 Practice locations: Columbus, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Optometric Center of Columbus3702 23Rd St, Columbus, NE 68601-3023(402) 564-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 18, 1988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1710178892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 23RD ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013023",
            "telephone_number": "402-564-2020",
            "fax_number": "402-563-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 23RD ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013023",
            "telephone_number": "402-564-2020",
            "fax_number": "402-563-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC CENTER OF COLUMBUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TROFHOLZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-564-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "866",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.