NPIMap

Organization Active NPI

Andrea N Steele-Baumann OD LLC

  • Optometrist
  • Hebron, NE
National Provider Identifier
1821500364
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANDREA N STEELE-BAUMANN OD LLC
Practice address
436 Lincoln Ave
Hebron, NE 68370-1526
Phone
(402) 768-6651
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Dr. Andrea Nicole Steele-Baumann, ODNPI 1366604027
Title
Owner/Optometrist
Phone
(402) 768-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

436 Lincoln Ave
Hebron, NE 68370-1526

Mailing address

PO Box 104
Hebron, NE 68370-0104
Phone (402) 768-6651

Other names 1

  • Mid America Vision Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171219002824 NE Part B Supplier - Clinic/Group Practice 2163780289 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Fairbury, NE; Hebron, NE
O20180407000034 NE DME Supplier - Physician - Optometrist 2163780289 Practice locations: Hebron, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Andrea Baumann OD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

523 E St
Fairbury, NE 68352
Phone (402) 729-6162

436 Lincoln Ave
Hebron, NE 68370
Phone (402) 768-6651

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1821500364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683700104",
            "telephone_number": "402-768-6651",
            "fax_number": "402-768-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 LINCOLN AVE",
            "city": "HEBRON",
            "state": "NE",
            "postal_code": "683701526",
            "telephone_number": "402-768-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA N STEELE-BAUMANN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "STEELE-BAUMANN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "402-768-6651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid America Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hebron, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.