Individual provider Active NPI

Robert J Cleaver Jr., O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1912919598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1229 Issued in NE
Practice address
6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone
(402) 572-2020
Fax
(402) 572-2150
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1229 NE Primary
Optometrist 152W00000X 02319 IA

Addresses

Primary practice location

6751 N 72ND St
Suite 105
Omaha, NE 68122-1746

Mailing address

6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone (402) 572-2020

Other identifiers 6

IdentifierTypeStateIssuer
245098OtherNEMIDLANDS CHOICE
239105OtherNECOVENTRY
37061OtherNEBCBS NE
47067295013MedicaidNE
93682OtherIABCBS IA
0595835MedicaidIA

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
I20041228000759 NE Practitioner - Optometry 0749248441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce H Brumm MD PCGroup PAC ID 7315916186, 4 clinicians

Practice addresses (Care Compare)

6751 N 72ND St
Suite 105
Omaha, NE 68122-1746
Phone (402) 572-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.22 of 100Reported as group
Quality
99.55
Improvement activities
40
Cost
74.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1229NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce H Brumm MD PC CurrentSince Apr 1, 2005 Accepting new patients
Bruce H Brumm MD PC Past Accepting new patients

Locations

711 S Vine St
Glenwood, IA 51534
Phone (712) 527-2363

6751 N 72nd St
Ste 105
Omaha, NE 68122
Phone (402) 572-2020

17001 Lakeside Hills Plz
Ste 101
Omaha, NE 68130
Phone (402) 934-7700

Interoperability endpoints

  • Direct secure messaging: rob@brummeye.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912919598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N 72ND ST",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221746",
            "telephone_number": "402-572-2020",
            "fax_number": "402-572-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N 72ND ST",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221746",
            "telephone_number": "402-572-2020",
            "fax_number": "402-572-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1229",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "245098",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "239105",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "37061",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47067295013",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IA",
            "identifier": "93682",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595835",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.