NPIMap

Organization Active NPI

Family Vision Center, PC

  • Optometrist
  • Wisner, NE
National Provider Identifier
1770660839
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
767 Issued in NE
Legal business name
FAMILY VISION CENTER, PC
Practice address
1024 Avenue E
Wisner, NE 68791-2248
Phone
(402) 529-3558
NPI assigned
Nov 1, 2006
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Dean L Lauritzen, O.D.
Title
Owner
Phone
(402) 529-3558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 767 NE
Optometrist 152W00000X 767 NE Primary

Addresses

Primary practice location

1024 Avenue E
Wisner, NE 68791-2248

Mailing address

1024 Avenue E
P.O. Box 367
Wisner, NE 68791-2248
Phone (402) 529-3558

Other identifiers 3

IdentifierTypeStateIssuer
7748OtherNEWISNER BLUE CROSS
8422OtherNEWISNER MIDLANDS CHOICE
25136OtherNEWISNER COVENTRY PAYOR ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1770660839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 AVENUE E",
            "address_2": "P.O. BOX 367",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "687912248",
            "telephone_number": "402-529-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 AVENUE E",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "687912248",
            "telephone_number": "402-529-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LAURITZEN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-529-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "767",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISNER BLUE CROSS",
            "identifier": "7748",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISNER MIDLANDS CHOICE",
            "identifier": "8422",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISNER COVENTRY PAYOR ID",
            "identifier": "25136",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisner, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.