INTERNATIONAL EYECARE CENTER, INC. (NPI# 1376542787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376542787 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL EYECARE CENTER, INC. |
| Other Organization Name | MALBAR VISION |
| Practice Address |
409 N 78th St Omaha NE 68114-3638 |
| Practice Telephone | 4023916600 |
| Practice Fax Number | 4023936890 |
| Mailing Telephone | 4023934500 |
| Mailing Fax Number | 4023937457 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CATHY LEE SHORT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47048659404 | 05 |
| Other Name | Type Code |
|---|---|
| Malbar Vision | Doing Business As Name - Organization |
| Malbar Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895621 | International Eyecare Center, Inc. | Optometrist | 16016 Evans St Ste 101, Omaha, NE 68116-6457 | 2019-01-17 |
| 1215378963 | International Eyecare Center, Inc. | Eyewear Supplier (Equipment, not the service) | 3201 Highway 61, Suite A, Hannibal, MO 63401-6578 | 2013-07-10 |
| 1467738724 | International Eyecare Center, Inc. | Eyewear Supplier (Equipment, not the service) | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2011-10-31 |
| 1740461979 | International Eyecare Center, Inc. | Optometrist | 8102 S 84th St, Lavista, NE 68128-3305 | 2007-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INTERNATIONAL EYECARE CENTER, INC. | 4835 Lbj Fwy. Ste 850, Dallas, TX 75244 |
| Street Address |
409 N 78TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736400 | Trevor Aaron Schramm | Optometrist | 409 N 78th St, Omaha, NE 68114-3638 | 2020-07-01 |
| 1689937435 | John Charles Scdoris | Optometrist | 409 N 78th St, Omaha, NE 68114-3638 | 2012-06-18 |
| 1770582892 | Neal H Malashock | Optometrist | 409 N 78th St, Omaha, NE 68114-3638 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| 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 |
|---|---|---|---|---|
| 1003462763 | Thundercloud Optical, LLC | Eyewear Supplier (Equipment, not the service) | 8838 Washington Cir, Omaha, NE 68127-4011 | 2019-08-16 |
| 1659937027 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2802 S 143rd Plz, Omaha, NE 68144-5611 | 2019-05-11 |
| 1578099024 | Walman Optical Company | Eyewear Supplier (Equipment, not the service) | 12240 Emmet St, Omaha, NE 68164-4265 | 2017-05-03 |
| 1477890937 | Arkfeld, Parson, Goldstein, PC | Eyewear Supplier (Equipment, not the service) | 450 Regency Pkwy, Suite 110, Omaha, NE 68114-3764 | 2013-01-03 |
| 1184941023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10000 California St Ste 269, Omaha, NE 68114-2355 | 2010-05-03 |
| 1417105701 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 1606 South 72nd Street, Omaha, NE 68124 | 2008-08-29 |
| 1831368133 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 16016 Evans Street, Suite 101, Omaha, NE 68116 | 2008-02-21 |
| 1043497340 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12500 K Plaza, Omaha, NE 68137-2207 | 2008-01-29 |
| 1922281427 | Eye Essentials, Inc. | Eyewear Supplier (Equipment, not the service) | 8111 Dodge St Ste 140, Omaha, NE 68114-4115 | 2007-12-07 |
| 1235326802 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 16959 Evans Plaza, Omaha, NE 68116-8116 | 2007-09-27 |
| Find all providers in OMAHA | ||||
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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.