Organization Active NPI

Lori a Harkins MD PC

  • Ophthalmology Physician
  • Grand Island, NE
National Provider Identifier
1912198094
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LORI A HARKINS MD PC
Doing business as
Harkins Eye CLinic
Practice address
830 N Alpha St
Grand Island, NE 68803-4320
Phone
(308) 384-9148
Fax
(308) 384-9158
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Lori A HarkinsNPI 1154322501
Title
Physician Owner
Phone
(308) 384-9148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

830 N Alpha St
Grand Island, NE 68803-4320

Mailing address

830 N Alpha St
Grand Island, NE 68803-4320
Phone (308) 384-9148

Other identifiers 1

IdentifierTypeStateIssuer
03637OtherNEBLUE CROSS BLUE SHIELD

Other names 1

  • Harkins Eye CLinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040831000839 NE Part B Supplier - Clinic/Group Practice 3779558929 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE
O20100930037682 NE DME Supplier - Physician - Ophthalmology 3779558929 Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

830 N Alpha St
Grand Island, NE 68803
Phone (308) 384-9148

Interoperability endpoints

  • Direct secure messaging: lharkins@harkins.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1912198094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N ALPHA ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034320",
            "telephone_number": "308-384-9148",
            "fax_number": "308-384-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N ALPHA ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034320",
            "telephone_number": "308-384-9148",
            "fax_number": "308-384-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI A HARKINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "308-384-9148",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03637",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harkins Eye CLinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.