Individual provider Active NPI

Andrew David Bateman, O.D.

  • Optometrist
  • Lincoln, NE
National Provider Identifier
1952506560
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1279 Issued in NE
Practice address
570 Fallbrook Blvd Ste 108
Lincoln, NE 68521-9025
Phone
(402) 742-0399
NPI assigned
Jun 15, 2007
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1279 NE Primary

Addresses

Primary practice location

570 Fallbrook Blvd Ste 108
Lincoln, NE 68521-9025

Mailing address

6801 NW 6TH St
Lincoln, NE 68521-6634
Phone (402) 261-5825

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
I20071205000694 NE Practitioner - Optometry 7012006588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Eye Care, P.C.Group PAC ID 2466531611, 2 clinicians

Practice addresses (Care Compare)

570 Fallbrook Blvd
Suite 108
Lincoln, NE 68521-6634
Phone (402) 742-0399

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1279NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Eye Care, P.C. Optometrist CurrentSince Mar 14, 2008 Accepting new patients
Proeye Group Gateway, P.C. Optometrist PastSince Nov 15, 2007 Accepting new patients

Locations

570 Fallbrook Blvd
Ste 108
Lincoln, NE 68521
Phone (402) 742-0399

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1952506560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 NW 6TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685216634",
            "telephone_number": "402-261-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 FALLBROOK BLVD STE 108",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219025",
            "telephone_number": "402-742-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.