Active NPI
Madison Dembin, OD
- Optometrist
- Omaha, NE
National Provider Identifier
1962274217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1631
- Practice address
- 9900 Nicholas St Ste 250
Omaha, NE 68114-2261 - Phone
- (402) 493-4370
- NPI assigned
- Oct 30, 2023
- Last updated
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1631 | NE | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Eye Consultants LLC | Optometrist | Current | 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.
-
- Optometrist
- Omaha, NE
- NPI 1003821422
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.