Individual provider Active NPI

Karen Borchman Wilson, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1891887154
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1145 Issued in NE
Practice address
3902 Leavenworth St
Omaha, NE 68105-0003
Phone
(402) 559-2020
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 1145 NE
Optometrist 152W00000X 1145 NE Primary

Addresses

Primary practice location

3902 Leavenworth St
Omaha, NE 68105-0003

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other identifiers 1

IdentifierTypeStateIssuer
1145OtherNENEBR LICENSE

Other names 1

  • Dr. Karen Lyn Borchman Former name

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
I20040320000374 NE Practitioner - Optometry 8325939473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

3902 Leavenworth St
Omaha, NE 68105-1119
Phone (402) 559-2020

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1145NEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Sep 1, 2020 Accepting new patients
Heartland Eye Consultants LLC Optometrist CurrentSince Jun 10, 2008 Accepting new patients
Retina Consultants of the Midlands PC PastSince Aug 1, 2013 Accepting new patients
Vision Specialists of Council Bluffs LLC Optometrist Past Accepting new patients
See Vision Services, LLC Optometrist PastSince Sep 5, 2023 Accepting new patients
Omegavision PC Optometrist PastSince Dec 1, 2006 Accepting new patients
Illusions Eyewear LLC Optometrist PastSince Jun 19, 2019 Accepting new patients

Locations

3902 Leavenworth St
Omaha, NE 68105
Phone (402) 559-2020

9900 Nicholas St
Ste 250
Omaha, NE 68114
Phone (402) 493-4370

110 N 175th St
Ste 2700
Omaha, NE 68118
Phone (402) 595-5208

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1891887154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681050003",
            "telephone_number": "402-559-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAREN",
        "middle_name": "BORCHMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NE",
            "license": "1145",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBR LICENSE",
            "identifier": "1145",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BORCHMAN",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.