Individual provider Active NPI

Christopher Dean Rupp, O.D.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1790915874
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1328 Issued in NE
Practice address
6404 O St
Lincoln, NE 68510-2351
Phone
(402) 466-3700
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1328 NE Primary

Addresses

Primary practice location

6404 O St
Lincoln, NE 68510-2351

Mailing address

3559 Laura Ave
Grand Island, NE 68803-6522
Phone (812) 320-5152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001267 NE Practitioner - Optometry 9830388909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Eye Centers IncGroup PAC ID 0648602284, 19 clinicians

Practice addresses (Care Compare)

3610 W Norfolk Ave
Norfolk, NE 68701-7702
Phone (402) 371-8230

Merit-based Incentive Payment System (MIPS)

Final score
99.28 of 100Reported as group
Quality
98.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1328NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients

Locations

605 23rd St
Columbus, NE 68601
Phone (402) 564-0545

3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1790915874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 LAURA AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688036522",
            "telephone_number": "812-320-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102351",
            "telephone_number": "402-466-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.