Carla Jane Ericksen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1226 Issued in NE

Practice address

5550 S 59TH St Ste 25
Lincoln, NE 68516-2398

Phone

(402) 261-8699

NPI assigned

Feb 15, 2007

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Optical Gallery, LLC

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1306019062
  Medicare reassignment NPD
• Optical Gallery LLC

  dba Optical Gallery

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1952544215
  NPD
• Holdrege Family Vision Clinic PC

  dba Family Vision

  • Optometrist
  • Alma, NE
  • NPI 1477870939
  NPD (past)
• Holdrege Family Vision Clinic PC

  • Optometrist
  • Holdrege, NE
  • NPI 1700881968
  NPD (past)
• Johnson Eye Clinic, P.a

  • Optometrist
  • Worthington, MN
  • NPI 1184700825
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1851434153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S 59TH ST STE 25",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162398",
            "telephone_number": "402-261-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S 59TH ST STE 25",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162398",
            "telephone_number": "402-261-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "CARLA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "252859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NEBRASKA",
            "identifier": "34245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenna Erdman, MSE, PLMHP
• Grace Kehinde Erekere Robinson, DNP, APRN, FNP-C
• Eric Harmes
• Eric Johnson LLC (Affirmation Drug & Alcohol Counseling)
• Eric Timperley DC PC
• Erickson Advanced Chiropractic Center, P.C. (Turning Pointe Chiropractic)
• Abbie Erickson
• Arman John Erickson
• Bruce Rollin Erickson
• Charles G Erickson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.