INTERNATIONAL EYECARE CENTER INC (NPI# 1649451980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649451980 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL EYECARE CENTER INC |
| Other Organization Name | MALBAR VISION |
| Practice Address |
10114 Maple St Omaha NE 68134-5555 |
| Mailing Address |
409 N 78th St Omaha NE 68114-3638 |
| Practice Telephone | 4025718112 |
| Practice Fax Number | 4025718113 |
| Mailing Telephone | 4023934500 |
| Mailing Fax Number | 4023934500 |
| Enumeration Date | 2007-11-15 |
| 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) | 470486594 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47048659405 | 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 |
|---|---|---|---|---|
| 1831368133 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 16016 Evans Street, Suite 101, Omaha, NE 68116 | 2008-02-21 |
| 1891345989 | International Eyecare Center Inc | Optometrist | 102 N 1st Ave, Winterset, IA 50273-1551 | 2019-09-19 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1043558299 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 125 N 13th St, Centerville, IA 52544-1705 | 2013-01-23 |
| 1437401460 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 580 S Roosevelt Ave, Burlington, IA 52601-1666 | 2012-10-15 |
| 1609152966 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 105 W Main St, Mt Sterling, IL 62353-1223 | 2011-10-31 |
| 1386825610 | International Eyecare Center Inc | Optometrist | 2545 S 132nd St, Omaha, NE 68144-2532 | 2007-11-15 |
| Street Address |
10114 MAPLE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68134-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229543 | Stephen M Felt | Optometrist | 10114 Maple St, Omaha, NE 68134-5555 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802262 | Destinee Myres | Registered Nurse | 9270 Ames Ave, Omaha, NE 68134 | 2017-03-24 |
| 1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
| 1538557772 | Megan Pendley | Counselor | 2808 North 75th Street, Omaha, NE 68134 | 2014-12-22 |
| 1477823771 | Warren Leonard Wallin | Pharmacist | 5225 North 90 St Street, Omaha, NE 68134 | 2012-01-04 |
| 1851613731 | Bobbi J Bussart | Counselor | 5843 N 90th, Omaha, NE 68134 | 2010-02-19 |
| 1386879559 | Makovicka Harms Group PC | Physical Therapist | 4201 N 90th Street, Omaha, NE 68134 | 2009-05-18 |
| 1093906216 | Deepthi Samindla | Family Medicine | 4229 North 90th Street, Omaha, NE 68134 | 2007-08-05 |
| 1740489384 | Tami Michelle Teut | Occupational Therapist | 7300 Graceland Drive, Omaha, NE 68134 | 2007-07-13 |
| 1447389200 | Mary Jo Atwood | Counselor | 10642 Old Maple Rd, Omaha, NE 68134 | 2007-03-05 |
| 1568502391 | Kimberly Lavern Mcmorris | Counselor | 2805 N 72 Street, Omaha, NE 68134 | 2007-02-08 |
| Find all providers in zip 68134 | ||||
| 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.