Individual provider Active NPI

Donald R Krysl, OD

  • Optometrist
  • La Vista, NE
National Provider Identifier
1730118233
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1092 Issued in NE
Practice address
8102 S 84TH St
Lavista, NE 68128
Phone
(402) 339-5550
Fax
(402) 339-5554
NPI assigned
Jun 30, 2006
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1092 NE Primary

Addresses

Primary practice location

8102 S 84TH St
Lavista, NE 68128

Mailing address

8102 S 84TH St
Lavista, NE 68128
Phone (402) 339-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000556 NE Practitioner - Optometry 1658374236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

16720 Harrison St
Omaha, NE 68136-1104
Phone (531) 541-6450

3044 S 84TH St
1 Shopko Optical 4044
Omaha, NE 68124-3208
Phone (402) 391-1143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Mar 11, 2024 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Mar 11, 2024 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Nancy a Dob, OD, PC Optometrist Past Accepting new patients
Focused Eye Care PastSince Jun 1, 2018 Accepting new patients
See Vision Services, LLC Optometrist PastSince Sep 5, 2023 Accepting new patients
Prairie Eyecare Center LLC Optometrist Past Accepting new patients
Iiii, PC Optometrist Past Accepting new patients
Nancy a Dob, OD,PC Optometrist Past Accepting new patients
Andrea N Steele-Baumann OD LLC Optometrist Past Accepting new patients
Prairie Eyecare Center PC Optometrist Past Accepting new patients

Locations

3044 S 84th St
Ste 1
Omaha, NE 68124
Phone (402) 391-1143

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1730118233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 S 84TH ST",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "68128",
            "telephone_number": "402-339-5550",
            "fax_number": "402-339-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 S 84TH ST",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "68128",
            "telephone_number": "402-339-5550",
            "fax_number": "402-339-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSL",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.