Urban Eyes PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1217 Issued in NE

Legal business name

URBAN EYES PC

Practice address

3906 Twin Creek Dr
Ste 102
Bellevue, NE 68123-4104

Phone

(402) 932-8007

Fax

(402) 932-8112

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Herbolsheimer, O.D.NPI 1144326174

Title

President

Phone

(402) 932-8007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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.

• Urban Eyes, PC

  • Optometrist
  • La Vista, NE
  • NPI 1518419290
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Herbolsheimer, O.D.

  • Optometrist
  • Bellevue, NE
  • NPI 1144326174
  Medicare reassignment Care Compare group NPD Authorized official
• Sydni Billesbach, OD

  • Optometrist
  • Council Bluffs, IA
  • NPI 1467027094

  NE

  Medicare reassignment Care Compare group NPD
• Lindsey Erin Zavala, OD

  • Optometrist
  • Denison, IA
  • NPI 1295414076

  NE

  Medicare reassignment Care Compare group
• Anna Goldberg, O.D.

  • Optometrist
  • Papillion, NE
  • NPI 1962767236
  Medicare reassignment NPD
• Donald R Krysl, OD

  • Optometrist
  • Lavista, NE
  • NPI 1730118233
  Medicare reassignment
• Rebecca Lenore Robinson, OD

  • Optometrist
  • Omaha, NE
  • NPI 1700972734
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321142400000",
    "number": "1831478338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 TWIN CREEK DR",
            "address_2": "STE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234104",
            "telephone_number": "402-932-8007",
            "fax_number": "402-932-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 TWIN CREEK DR",
            "address_2": "STE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234104",
            "telephone_number": "402-932-8007",
            "fax_number": "402-932-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN EYES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-11-13",
        "status": "A",
        "authorized_official_last_name": "HERBOLSHEIMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-932-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026095700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.