Active NPI
Robert J Cleaver Jr., O.D.
- Optometrist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1229
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245098 | Other | NE | MIDLANDS CHOICE |
| 239105 | Other | NE | COVENTRY |
| 37061 | Other | NE | BCBS NE |
| 47067295013 | Medicaid | NE | |
| 93682 | Other | IA | BCBS IA |
| 0595835 | Medicaid | IA |
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
Enrollment records 1
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
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 100
- Quality
- 99.55
- Improvement activities
- 40
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1229 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce H Brumm MD PC | Current | 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
- 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.
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1750393294
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1508878075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.