Retina Center of Nebraska, P.C.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA CENTER OF NEBRASKA, P.C.

Doing business as

Retina Center of Nebraska

Practice address

6003 Osborne Dr W
Hastings, NE 68901-9160

Phone

(402) 461-4611

Fax

(402) 461-4616

NPI assigned

May 5, 2009

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John C Welch, M.D.NPI 1033116074

Title

President

Phone

(402) 461-4611

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Retina Center of Nebraska Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Welch, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hastings, NE
  • NPI 1033116074
  Medicare reassignment Care Compare group NPD Authorized official
• William D. Terrell, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Hastings, NE
  • NPI 1477781888
  Medicare reassignment Care Compare group NPD
• Kristen Arling Burwick, MD

  • Ophthalmology Physician
  • North Platte, NE
  • NPI 1134359508
  NPD (past)
• James Shreck, M.D.

  • Specialist
  • North Platte, NE
  • NPI 1831101484
  NPD (past)
• John Pointer Eitzen, M.D.

  • Ophthalmology Physician
  • Huntsville, AL
  • NPI 1124218698
  NPD (past)
• Eugene O Wiggs, M.D.

  • Specialist
  • Denver, CO
  • NPI 1992741961
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1861626806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE STE 104",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-461-4611",
            "fax_number": "402-461-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 OSBORNE DR W",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689019160",
            "telephone_number": "402-461-4611",
            "fax_number": "402-461-4616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Diers Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034960",
            "country_code": "US",
            "telephone_number": "402-461-4611",
            "fax_number": "402-461-4616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 W 48th St Ste 34",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688451326",
            "country_code": "US",
            "telephone_number": "402-461-4611",
            "fax_number": "402-461-4616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 S Maple St",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691015282",
            "country_code": "US",
            "telephone_number": "402-461-4611",
            "fax_number": "402-461-4616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CENTER OF NEBRASKA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-461-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "15430",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NE",
            "license": "15430",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NE",
            "license": "28285",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026498302",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026498303",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026498304",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026498300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Center of Nebraska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Ann Reinhard, PA-C
• Heather Reisbeck
• Alaethea Nicole Remmers, SLP
• Amy Nicole Rempe, PA
• Renal Treatment Centers-Illinois Inc. (Hastings Dialysis Center)
• Revive Inc (Horizon Recovery & Counseling Center)
• Amy Lynn Rewerts
• Bradley Alan Rewerts
• Diana Reyes
• Marie Reyes

• Retina Specialist (Ophthalmology) Physician in Hastings, NE
• Providers in Hastings, NE by specialty
• Retina Specialist (Ophthalmology) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.