OPTICAL GALLERY, LLC (NPI# 1306019062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306019062 |
| Entity Type | Organization |
| Organization Name | OPTICAL GALLERY, LLC |
| Other Organization Name | OPTICAL GALLERY |
| Practice Address |
3923 S 48th St Lincoln NE 68506-4318 |
| Practice Telephone | 4024883106 |
| Practice Fax Number | 4024883329 |
| Mailing Telephone | 4024883106 |
| Mailing Fax Number | 4024883329 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | MICHAEL J THILGES (PARTOWNER/MANAGER) |
| Authorized Official Telephone | 4024883106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025614200 | 05 | |
| NE | MEDICARE RAILROAD CARRIER | DN6715 | 01 |
| Other Name | Type Code |
|---|---|
| OPTICAL GALLERY | Other Name - Individual/Organization |
| Street Address |
3923 S 48TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760501456 | Kimberly Ann Raymond | Optometrist | 3923 S 48th St, Lincoln, NE 68506-4318 | 2007-03-27 |
| 1023273018 | Ashley Nicole Wilcox | Optometrist | 3923 S 48th St, Lincoln, NE 68506-4318 | 2008-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841856234 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2801 Pine Lake Rd Ste J, Lincoln, NE 68516-6041 | 2019-05-12 |
| 1679921720 | Statton Optical | Eyewear Supplier (Equipment, not the service) | 4645 Normal Blvd Ste 132, Lincoln, NE 68506-5823 | 2016-05-31 |
| 1790933083 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 3400 North 85th St., Lincoln, NE 68507 | 2008-08-29 |
| 1225219751 | Eyeworks Inc | Eyewear Supplier (Equipment, not the service) | 1101 S 70th St Ste 200, Lincoln, NE 68510-4293 | 2007-11-27 |
| 1427239672 | Modern Eyecare Inc. | Eyewear Supplier (Equipment, not the service) | 1650 S 70th St Ste 201, Lincoln, NE 68506-1569 | 2007-11-15 |
| 1740480433 | Heartland Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1012 N 27th St, Lincoln, NE 68503-1802 | 2007-07-20 |
| 1568592525 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5555 'o' Street, Lincoln, NE 68510 | 2007-03-07 |
| 1447386685 | Vision Associates Inc | Eyewear Supplier (Equipment, not the service) | 125 S 66th St, Lincoln, NE 68510-2302 | 2007-02-24 |
| 1083760847 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2950 Pine Lake Rd Ste H, Lincoln, NE 68516-6020 | 2007-01-26 |
| 1245396829 | Vision Associates Inc | Eyewear Supplier (Equipment, not the service) | 1201 O St, Suite 100, Lincoln, NE 68508-1420 | 2006-12-28 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.