Individual provider Active NPI

Douglas C Rienks, OD

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1871648386
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1014 Issued in NE
Practice address
2550 Superior Street
Suite 150
Lincoln, NE 68521
Phone
(402) 435-1166
Fax
(402) 435-1194
NPI assigned
Jan 24, 2007
Last updated
Nov 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1014 NE Primary

Addresses

Primary practice location

2550 Superior Street
Suite 150
Lincoln, NE 68521

Mailing address

2550 Superior Street
Suite 150
Lincoln, NE 68521
Phone (402) 435-1166

Other identifiers 5

IdentifierTypeStateIssuer
470839840OtherNEMIDLANDS CHOICE
36355OtherNEBLUE CROSS BLUE SHIELD
47083984000MedicaidNE
470839840OtherNEVISION SERVICE PLAN
470839840OtherNEUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040426001808 NE Practitioner - Optometry 8426045139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Eye InstituteGroup PAC ID 1355402363, 2 clinicians

Practice addresses (Care Compare)

2550 Superior St
Suite 150
Lincoln, NE 68521-4156
Phone (402) 435-1166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1014NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Eye Institute Optometrist CurrentSince Mar 1, 2001 Accepting new patients
Carroll Eye Clinic PC Optometrist Past Accepting new patients

Locations

2550 Superior St
Ste 150
Lincoln, NE 68521
Phone (402) 435-1166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1871648386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 SUPERIOR STREET",
            "address_2": "SUITE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68521",
            "telephone_number": "402-435-1166",
            "fax_number": "402-435-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SUPERIOR STREET",
            "address_2": "SUITE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68521",
            "telephone_number": "402-435-1166",
            "fax_number": "402-435-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENKS",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "470839840",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36355",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083984000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "470839840",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "470839840",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.