Dusty Lee McIver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1479 Issued in NE

Practice address

17838 Burke St Ste 100
Omaha, NE 68118-2256

Phone

(402) 558-2211

Fax

(402) 558-2212

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MVS Vision 01 LLCGroup PAC ID 3971984030, 3 clinicians

Kugler Vision PCGroup PAC ID 6305011339, 8 clinicians

Practice addresses (Care Compare)

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.

• Kugler Vision PC

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1023306792

  NE

  Medicare reassignment Care Compare group NPD
• MVS Vision 01, LLC

  • Optometrist
  • Omaha, NE
  • NPI 1306598859

  NE, Optometrist

  Medicare reassignment Care Compare group NPD
• MVC Vision 01 PLLC

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1265239339

  IA

  Medicare reassignment NPD
• MVS Vision 02 PLLC

  • Ophthalmology Physician
  • West Des Moines, IA
  • NPI 1689411514

  IA

  Medicare reassignment NPD
• MVC Vision 01 VCS

  • Ambulatory Surgical Clinic/Center
  • West Des Moines, IA
  • NPI 1972497287
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1902994874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17838 BURKE ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182256",
            "telephone_number": "402-558-2211",
            "fax_number": "402-558-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17838 BURKE ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182256",
            "telephone_number": "402-558-2211",
            "fax_number": "402-558-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3318 N Northhills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034008",
            "country_code": "US",
            "telephone_number": "479-521-2555",
            "fax_number": "479-251-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCIVER",
        "first_name": "DUSTY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1479",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie McIntyre
• Jeritha McIntyre
• Ravon McIntyre
• Rhonna Lynn McIntyre, APRN, DNP
• Wilesha McIntyre
• Carolyn McIvor, MD
• Deborah Cwikla McKay
• Rashod McKay
• Rebecca Milbourn McKay, CNM/ARNP
• Mikayla McKee, MD

• All providers in Omaha, NE
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.