Organization Active NPI

Jason Webb OD PC

  • Optometrist
  • Scottsbluff, NE
National Provider Identifier
1720193246
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1156 Issued in NE
Legal business name
JASON WEBB OD PC
Practice address
820 W 42ND St Ste 1200
Scottsbluff, NE 69361-4704
Phone
(308) 635-0800
Fax
(308) 635-0899
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Dr. Jason Alan Webb, O.D.NPI 1710944483
Title
Owner
Phone
(308) 635-0800

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1156 NE Primary

Addresses

Primary practice location

820 W 42ND St Ste 1200
Scottsbluff, NE 69361-4704

Mailing address

820 W 42ND St Ste 1200
Scottsbluff, NE 69361-4704
Phone (308) 635-0800

Other practice location 1

313 W 38th St
Suite 2
Scottsbluff, NE 69361-4770
Phone (308) 635-0800

Other identifiers 1

IdentifierTypeStateIssuer
10025345400MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071025000325 NE Part B Supplier - Clinic/Group Practice 8820083025 Receives reassigned benefits from 3 practitioners
Practice locations: Scottsbluff, NE

National Provider Directory

National Provider Directory

Locations

820 W 42nd St
Ste 12
Scottsbluff, NE 69361

313 W 38th St
Ste 2
Scottsbluff, NE 69361
Phone (308) 635-0800

820 W 42nd St
Ste 1200
Scottsbluff, NE 69361
Phone (308) 635-0800

2793 Taylor Road Ext
Reynoldsburg, OH 43068
Phone (614) 367-1021

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1720193246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST STE 1200",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614704",
            "telephone_number": "308-635-0800",
            "fax_number": "308-635-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST STE 1200",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614704",
            "telephone_number": "308-635-0800",
            "fax_number": "308-635-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 W 38th St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614770",
            "country_code": "US",
            "telephone_number": "308-635-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JASON WEBB OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-635-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025345400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.