Zachery Baumfalk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1481 Issued in NE

Practice address

5001 O St Ste F
Lincoln, NE 68510-1919

Phone

(531) 484-4043

Fax

(531) 484-4143

NPI assigned

Sep 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

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 and National Provider Directory roles.

• Shoptikal LLC

  • Eyewear Supplier
  • Grand Island, NE
  • NPI 1952967325

  NE, Optometrist

  Medicare reassignment NPD
• Optimal Eye Care

  • Optometrist
  • Lincoln, NE
  • NPI 1124737622
  NPD Authorized official
• Shoptikal LLC

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1821755398

  Optometrist

  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Nancy a Dob, OD,PC

  • Optometrist
  • Sutton, NE
  • NPI 1457546145
  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Spokane, WA
  • NPI 1154987535

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1871002170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 O ST STE F",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101919",
            "telephone_number": "531-484-4043",
            "fax_number": "531-484-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 O ST STE F",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101919",
            "telephone_number": "531-484-4043",
            "fax_number": "531-484-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "NE",
            "postal_code": "684672946",
            "country_code": "US",
            "telephone_number": "402-362-3313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 1st St",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "IA",
            "postal_code": "515341706",
            "country_code": "US",
            "telephone_number": "712-527-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 W Amarillo Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061990",
            "country_code": "US",
            "telephone_number": "806-355-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMFALK",
        "first_name": "ZACHERY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9353T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "091285",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Baumeister, AUDIOLOGIST
• Journie Baumeister, PLMHP
• Ryan J Baumert, PA-C
• Jeremiah D Baumfalk, O.D.
• Sherrill Ann Baumfalk, RN MSN
• Amelia J Baumgardner, AUD
• Cole Baumgartner
• Jennifer Bausch, PT, DPT
• Timothy Bronson Bausch, DPT
• Joseph Bruce Bavitz, D.M.D.

• All providers in Lincoln, NE
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.