MALBAR VISION (NPI# 1326317082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326317082 |
| Entity Type | Organization |
| Organization Name | MALBAR VISION |
| Practice Address |
3200 O St Ste A Lincoln NE 68510-1510 |
| Practice Telephone | 4024759113 |
| Practice Fax Number | 4024758084 |
| Mailing Telephone | 4024759113 |
| Mailing Fax Number | 4024758084 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | MISS JAIMI LEE ROSE (OFFICE MANAGER) |
| Authorized Official Telephone | 4024759113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0763 | NE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026004700 | 05 |
| Street Address |
3200 O ST STE A |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315196 | Derek Luke Maddox | Optometrist | 3200 O St Ste A, Lincoln, NE 68510-1510 | 2020-08-03 |
| 1720600893 | Brooke Taylor Segerstrom | Optometrist | 3200 O St Ste A, Lincoln, NE 68510-1510 | 2020-05-12 |
| 1598193260 | Eyes On Lincoln | Optometrist | 3200 O St Ste A, Lincoln, NE 68510-1510 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922642255 | Daniel & Max, LLC | Optometrist | 4320 N 27th St, Lincoln, NE 68521-4108 | 2019-10-30 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1154984177 | John H Mcdougall Od PC | Optometrist | 2917 Pine Lake Rd Ste B, Lincoln, NE 68516-6032 | 2019-04-16 |
| 1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1427578681 | Douglass R. Fruin | Optometrist | 400 N 48th St, Lincoln, NE 68504-3419 | 2017-06-20 |
| 1336459312 | Seth Lambert | Optometrist | 5555 O St, Lincoln, NE 68510-2131 | 2010-10-08 |
| 1861706509 | Stephen Philip Gildersleeve | Optometrist | 3200 O St., Lincoln, NE 68510 | 2010-08-05 |
| 1174835391 | Shannon Boone | Optometrist | 3415 E Pershing Rd, Lincoln, NE 68502-4836 | 2010-07-02 |
| 1790915874 | Christopher Dean Rupp | Optometrist | 6404 O St, Lincoln, NE 68510-2351 | 2009-07-22 |
| 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.