Eyecare Associates of Columbus PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

801 Issued in NE

Legal business name

EYECARE ASSOCIATES OF COLUMBUS PC

Practice address

1 Hospital Dr
Schuyler, NE 68661-1300

Phone

(402) 352-3855

Fax

(402) 352-3869

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel K Mickey, OD

Title

Owner

Phone

(402) 352-3855

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Subchapter S Corporation Other name

Locations

Practitioners 1

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

• Larry E Malicky, OD FAAO

  • Optometrist
  • Columbus, NE
  • NPI 1295748903
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1992865356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "PO BOX 516",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611300",
            "telephone_number": "402-352-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611300",
            "telephone_number": "402-352-3855",
            "fax_number": "402-352-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF COLUMBUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MICKEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-352-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "801",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1069",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06731",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36395",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06952",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH1483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N001930",
            "identifier": "CHAMPUS",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Subchapter S Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• East Central District Health Department
• Kyle M Eller, PT
• Madison Ellis
• Laudina Espinoza
• Bianca M Estrada
• Family First Dental Associates of Columbus, P.C.
• Norma Elaine Farley-Zoucha, RD, LMNT, LD
• Sandra Flores Campos
• Ulises Fuentes
• Ariana Nichole Garcia

• All providers in Schuyler, NE
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.