Brian L Adam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1216 Issued in NE

Practice address

6900 O Street
#127
Lincoln, NE 68510-2460

Phone

(402) 466-4111

Fax

(402) 466-4202

NPI assigned

Sep 27, 2006

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dradam@elegantoptics.eyeclinicdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elegant Optics Contacts & Family Eye LLC

  dba Elegant Optics

  • Medical Specialty Clinic/Center
  • Lincoln, NE
  • NPI 1891024717
  Medicare reassignment

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1932290764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 O STREET",
            "address_2": "#127",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102460",
            "telephone_number": "402-466-4111",
            "fax_number": "402-466-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 O STREET",
            "address_2": "#127",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102460",
            "telephone_number": "402-466-4111",
            "fax_number": "402-466-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025174100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025846400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladrinda Acree
• Acs Medical LLC
• Active Life Family Chiropractic, P.C.
• Active Scoliosiscare
• Ashoul Adam
• Dora Monica Adam, PLMHP
• Manasick Algazafi Idris Adam
• Minas Adam
• Rose Julnar Adam
• Marina Adame Vazquez

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.