Vision Center Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1414 Issued in NE

Legal business name

VISION CENTER EYE CARE LLC

Practice address

3010 E 23Rd St
Fremont, NE 68025-2479

Phone

(402) 727-0804

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Jedidiah Burkey, O.D.NPI 1538420765

Title

Optometrist/Owner

Phone

(402) 727-0804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jedidiah Michael Burkey, O.D.

  • Optometrist
  • Fremont, NE
  • NPI 1538420765
  Medicare reassignment NPD Authorized official
• Heidi Hanisch, OD

  • Optometrist
  • Omaha, NE
  • NPI 1548212590
  NPD (past)
• Matthew F Klemke, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1811918360
  NPD (past)
• Barrett Christopher Schmidt, O.D.

  • Optometrist
  • Fremont, NE
  • NPI 1427161611
  NPD (past)
• Slade Allen Lindquist, OD

  • Optometrist
  • Fort Leavenworth, KS
  • NPI 1205836897
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1962816124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252479",
            "telephone_number": "402-727-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "BURKEY",
        "authorized_official_first_name": "JEDIDIAH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "402-727-0804",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vetter
• Joann Vignery
• Katlyn Villareal
• Patricio Dejalde Virata II
• Remie Lou Virata
• Ambri Vogel, PHARMD
• Nia Rhyann Votta, PTA
• James T. Vukonich, DPM
• Ward William Wageman, RP
• Nicole Lynn Wagner Dix, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.