Individual provider Active NPI

Madison Dembin, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1962274217
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1631 Issued in NE
Practice address
9900 Nicholas St Ste 250
Omaha, NE 68114-2261
Phone
(402) 493-4370
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1631 NE Primary
Pediatric Optometrist 152WP0200X 1631 NE
Vision Therapy Optometrist 152WV0400X 1631 NE

Addresses

Primary practice location

9900 Nicholas St Ste 250
Omaha, NE 68114-2261

Mailing address

9900 Nicholas St Ste 250
Omaha, NE 68114-2261
Phone (402) 493-4370

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
I20231103002482 NE Practitioner - Optometry 9931556594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1631NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Eye Consultants LLC Optometrist CurrentSince Nov 1, 2023 Accepting new patients

Locations

9900 Nicholas St
Ste 250
Omaha, NE 68114
Phone (402) 493-4370

Organizations & group practices 1

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1962274217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142261",
            "telephone_number": "402-493-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBIN",
        "first_name": "MADISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1631",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NE",
            "license": "1631",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "1631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.