Individual provider Active NPI

Cassandra Leigh Jordan, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1972987485
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1580 Issued in NE
Practice address
17838 Burke St Ste 100
Omaha, NE 68118-2256
Phone
(402) 558-2211
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002888 GA
Optometrist 152W00000X OPT0003367 CO
Optometrist 152W00000X 1580 NE Primary

Addresses

Primary practice location

17838 Burke St Ste 100
Omaha, NE 68118-2256

Mailing address

17838 Burke St Ste 100
Omaha, NE 68118-2256
Phone (402) 558-2211

Other practice location 1

27122 Main St Ste 220
Conifer, CO 80433
Phone (303) 838-9165

Other practice location 2

15901 E Briarwood Cir Unit 100
Aurora, CO 80016
Phone (720) 307-5625

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kuglervision.com

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
I20221109000761 NE Practitioner - Optometry 6608174305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kugler Vision PCGroup PAC ID 6305011339, 8 clinicians

Practice addresses (Care Compare)

17838 Burke St
Omaha, NE 68118-2256
Phone (402) 558-2211

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1580NEMDDental Hygienist
OPT0003367COMDOptometrist
OPT002888GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kugler Vision PC CurrentSince Oct 1, 2022 Accepting new patients
MVS Vision 01, LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Buford Eye Surgery Center Past Accepting new patients

Locations

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

17838 Burke St
Ste 100
Omaha, NE 68118
Phone (402) 558-2211

10345 Pacific St
Omaha, NE 68114
Phone (833) 586-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1972987485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17838 BURKE ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182256",
            "telephone_number": "402-558-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17838 BURKE ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182256",
            "telephone_number": "402-558-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27122 Main St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "80433",
            "country_code": "US",
            "telephone_number": "303-838-9165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15901 E Briarwood Cir Unit 100",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80016",
            "country_code": "US",
            "telephone_number": "720-307-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CASSANDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002888",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003367",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kuglervision.com",
            "affiliation": "N",
            "address_1": "17838 Burke St Ste 100",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681182256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.