Active NPI
Zachary Brown, O.D.
- Optometrist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1377
- Practice address
- 4353 Dodge St
Omaha, NE 68131-2709 - Phone
- (402) 552-2020
- Fax
- (402) 552-2367
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002611 | IA | |
| Optometrist | 152W00000X | 1377 | NE | Primary |
Addresses
Primary practice location
4353 Dodge St
Omaha, NE 68131-2709
Mailing address
4353 Dodge St
Omaha, NE 68131-2709
Phone (402) 552-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120810000840 | NE | Practitioner - Optometry | 7012163777 | Reassigns benefits to 2 organizations |
| I20180928001662 | IA | Practitioner - Optometry | 7012163777 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Provider Enterprise LLCSenior Vision Services LLC
Practice addresses (Care Compare)
2063 Creek Side Dr
Suite 123
Papillion, NE 68046-4192
Phone (402) 207-2311
2730 Crow Creek Rd
Bettendorf, IA 52722-2066
Phone (563) 332-7463
610 S Polk St
Papillion, NE 68046-2548
Phone (402) 339-7700
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.02 of 100
- Quality
- 65.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 70.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1377 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 002611 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Provider Enterprise LLC | Optometrist | Current | Accepting new patients |
| Walnut Creek Eyecare LLC | Optometrist | Current | Accepting new patients |
| Senior Vision Services LLC | Optometrist | Current | Accepting new patients |
| Heidi a Hanisch OD PC | Optometrist | Past | Accepting new patients |
| Focused Eye Care | Past | Accepting new patients |
Locations
2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463
7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466
3800 Commerce Blvd
Davenport, IA 52807
Phone (563) 332-7463
5837 Winwood Dr
Johnston, IA 50131
Phone (515) 240-1100
2242 Wright St
Blair, NE 68008
Phone (402) 426-4663
10826 Old Mill Rd
Ste 101
Omaha, NE 68154
1540 N 72nd St
Omaha, NE 68114
Phone (402) 393-8693
610 S Polk St
Papillion, NE 68046
Phone (402) 339-7700
2063 Creek Side Dr
Ste 123
Papillion, NE 68046
Phone (402) 207-2311
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1215010293
-
- Optometrist
- Fremont, NE
- NPI 1497079644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1790048403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4353 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312709",
"telephone_number": "402-552-2020",
"fax_number": "402-552-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4353 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312709",
"telephone_number": "402-552-2020",
"fax_number": "402-552-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ZACHARY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2021-09-09",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002611",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.