Alex Michael Van Kooten-Tharman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1568 Issued in NE

Practice address

17255 Davenport St Ste 139
Omaha, NE 68118-4020

Phone

(402) 763-6466

Fax

(402) 939-0809

NPI assigned

Feb 2, 2022

Last updated

May 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alex Michael Tharman Other name

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  NE

  Medicare reassignment Care Compare group NPD
• Elkhorn Ridge Vision PC

  • Optometrist
  • Omaha, NE
  • NPI 1871514331
  Medicare reassignment
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1801549506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17255 DAVENPORT ST STE 139",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184020",
            "telephone_number": "402-763-6466",
            "fax_number": "402-939-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17255 DAVENPORT ST STE 139",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681184020",
            "telephone_number": "402-763-6466",
            "fax_number": "402-939-0809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17660 Wright St Ste 18",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681302899",
            "country_code": "US",
            "telephone_number": "402-991-0160",
            "fax_number": "402-206-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN KOOTEN-THARMAN",
        "first_name": "ALEX",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "THARMAN",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vincent Van Haute, PT, DPT, CSCS
• William Van Hook
• Christina M Van Horn, MD
• Brenda Kay Van Houten
• Daniel Van Kalsbeek, DO
• Clay Van Leeuwen, D.M.D.
• Emma Van Meeteren, DPT
• Frances J Van Meter, APRN
• Rebecca Van Meter
• Corinne Marie Van Osdel, DDS

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

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

Verify at the official NPI Registry.