Organization Active NPI

Magnuson Hopkins Eyecare PC

  • Optometrist
  • Wayne, NE
National Provider Identifier
1780975144
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAGNUSON HOPKINS EYECARE PC
Practice address
1112 W 7TH St
Wayne, NE 68787
Phone
(402) 375-5160
Fax
(402) 375-3302
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Brandy Saltzman
Title
Third Party Coordinator
Phone
(402) 375-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1112 W 7TH St
Wayne, NE 68787

Mailing address

PO Box 309
Wayne, NE 68787-0309
Phone (402) 375-5160

Other practice location 1

215 W 2nd St
Wayne, NE 68787-1842
Phone (402) 375-5160

Other identifiers 2

IdentifierTypeStateIssuer
DS4736OtherNERAILROAD MEDICARE
10026203700MedicaidNE

Other names 1

  • Evolving Eyecare Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120307000427 NE Part B Supplier - Clinic/Group Practice 9335308519 Receives reassigned benefits from 3 practitioners
Practice locations: Wayne, NE
O20120526000020 NE DME Supplier - Physician - Optometrist 9335308519 Practice locations: Wayne, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2068250Evolving Eyecare1112 W 7TH Street, Wayne, NE 68787Certificate of waiverOct 29, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Magnuson Hopkins Eye Care PC1112 W 7TH St, Wayne, NE 68787-1683(402) 375-5160 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory

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": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1780975144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687870309",
            "telephone_number": "402-375-5160",
            "fax_number": "402-375-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 7TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "68787",
            "telephone_number": "402-375-5160",
            "fax_number": "402-375-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NE",
            "postal_code": "687871842",
            "country_code": "US",
            "telephone_number": "402-375-5160",
            "fax_number": "402-375-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNUSON HOPKINS EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "SALTZMAN",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "THIRD PARTY COORDINATOR",
        "authorized_official_telephone_number": "402-375-5160"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS4736",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026203700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolving Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.