Advanced Family Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NE1146 Issued in NE

Legal business name

ADVANCED FAMILY EYECARE PC

Practice address

14450 Eagle Run Dr
Suite 140
Omaha, NE 68116-1493

Phone

(402) 884-0776

Fax

(402) 884-0749

NPI assigned

Apr 25, 2008

Last updated

Nov 27, 2018By 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

Mr. Mark A Toelle, ODNPI 1831277367

Title

Owner

Phone

(402) 884-0776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Family Eyecare Elkhorn P.C.

  • Optometrist
  • Elkhorn, NE
  • NPI 1669621264
  NPPES parent name

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.

• Mark Allan Toelle, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1831277367
  Medicare reassignment Care Compare group NPD Authorized official
• Wendi Jo Langel, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1942317805
  Medicare reassignment Care Compare group NPD
• Ginny L Ahrens, O.D.

  • Optometrist
  • Elkhorn, NE
  • NPI 1205095353
  Medicare reassignment NPD
• Brett Briggs

  • Optometrist
  • Omaha, NE
  • NPI 1497309785
  Medicare reassignment NPD

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1740455260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-884-0776",
            "fax_number": "402-884-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-884-0776",
            "fax_number": "402-884-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "TOELLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-884-0776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "NE1146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.