John Eugene Bateman, O.D.
Individual provider Active NPI Optometrist · Plattsmouth, NE
NPI 1790780369 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1790780369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 911 (NE)
- Practice address
- 2380 8TH Ave
Ste 4
Plattsmouth, NE 68048-2367 - Phone
- (402) 296-2200
- Fax
- (402) 296-6055
- NPI assigned
- Jun 20, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 911 | NE | Yes |
Addresses
Primary practice location
2380 8TH Ave
Ste 4
Plattsmouth, NE 68048-2367
Mailing address
2380 8TH Ave
Ste 4
Plattsmouth, NE 68048-2367
Phone (402) 296-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470743194-00 | Medicaid | NE |
Other providers in Plattsmouth, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.