Active NPI
Michael Kelly Gilbreath, O.D.
- Optometrist
- Kearney, NE
National Provider Identifier
1942438650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1325
- Practice address
- 920 E 56TH St Ste D3
Kearney, NE 68847-8628 - Phone
- (308) 455-1283
- Fax
- (308) 455-1285
- NPI assigned
- Jul 1, 2009
- Last updated
- Apr 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1325 | NE | Primary |
Addresses
Primary practice location
920 E 56TH St Ste D3
Kearney, NE 68847-8628
Mailing address
1104 E 56TH St Unit 4
Kearney, NE 68847-8615
Phone (402) 661-9033
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
- Indiana University - School of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
218 W 42ND St
Kearney, NE 68845-8500
Phone (308) 455-1283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1325 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Eye Care and Contact Lens Services, PC | Optometrist | Current | Accepting new patients |
| Eyecare Associates | Optometrist | Past | Accepting new patients |
Locations
218 W 42nd St
Kearney, NE 68845
Phone (308) 237-9633
920 E 56th St
Ste D3
Kearney, NE 68847
Phone (308) 236-7471
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Kearney, NE
- NPI 1699062828
-
- Optometrist
- York, NE
- NPI 1700862018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1942438650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 E 56TH ST UNIT 4",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478615",
"telephone_number": "402-661-9033",
"fax_number": "308-455-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 E 56TH ST STE D3",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478628",
"telephone_number": "308-455-1283",
"fax_number": "308-455-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBREATH",
"first_name": "MICHAEL",
"middle_name": "KELLY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.