NORTHEAST EYECARE PC (NPI# 1649697491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649697491 |
| Entity Type | Organization |
| Organization Name | NORTHEAST EYECARE PC |
| Practice Address |
101 W Decatur St West Point NE 68788-1407 |
| Practice Telephone | 4023723266 |
| Practice Fax Number | 4023725736 |
| Mailing Telephone | 4023723266 |
| Mailing Fax Number | 4023725736 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | DR. BRANDON RIDDER (OWNER) |
| Authorized Official Telephone | 4023723266 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1396 | NE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS | 7748 | 01 |
| NE | 100264775-00 | 05 | |
| NE | COVENTRY | 25136 | 01 |
| NE | MIDLANDS CHOICE | 8422 | 01 |
| NE | 100264106-00 | 05 |
| Street Address |
101 W DECATUR ST |
| City | WEST POINT |
| State | NE |
| Zip Code | 68788-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433395 | Dean L. Lauritzen | Optometrist | 101 W Decatur St, West Point, NE 68788-1407 | 2005-08-10 |
| 1851731459 | Brandon Ridder | Optometrist | 101 W Decatur St, West Point, NE 68788-1407 | 2013-06-27 |
| 1427132901 | Family Vision Center, PC | Clinic/Center | 101 W Decatur St, West Point, NE 68788-1407 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619458023 | Amy K Schantz | Counselor | 221 E Grant Street, West Point, NEBRASKA 68788 | 2018-08-23 |
| 1699829903 | Nichole A. Chambliess | Occupational Therapist | 430 N. Monitor St., St. Francis Hospital, West Point, NE 68788 | 2007-01-23 |
| 1447326889 | Frank J Kowal | Dentist | 212 So Main St, General Practice, West Point Nebr, NE 68788 | 2006-11-28 |
| 1639638067 | Christa Carr | Pharmacist | 303 Plaza Dr, West Point, NE 68788 | 2019-03-15 |
| 1093250631 | Tessa Recker | Speech-Language Pathologist | 1200 E Washington St, West Point, NE 68788 | 2017-01-05 |
| 1023415700 | Julie Ann Neiman | Occupational Therapist | 960 Prospect Rd, West Point, NE 68788 | 2014-11-25 |
| 1568546950 | David Mlnarik | Dentist | 910 N Lincoln St, West Point, NE 68788-1002 | 2006-10-24 |
| 1235511213 | Kralik Dakota Dental, P.C. | Clinic/Center | 910 N Lincoln St, West Point, NE 68788-1002 | 2015-06-25 |
| 1891955522 | Jesse D Carr | Dentist | 910 N Lincoln St, West Point, NE 68788-1002 | 2008-06-16 |
| 1821173204 | Shawn Kralik | Dentist | 910 N Lincoln St, West Point, NE 68788-1002 | 2006-10-26 |
| Find all providers in zip 68788 | ||||
| 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 |
|---|---|---|---|---|
| 1396879912 | Eye Clinic of West Point, Inc | Optometrist | 233 West Main St., West Point, MS 39773 | 2007-03-15 |
| 1134220551 | George A. Courtright Jr. | Optometrist | 400 3rd Ave, West Point, GA 31833-1522 | 2006-09-26 |
| 1467423210 | David W Cheatham | Optometrist | 227 Commerce St, West Point, MS 39773-2921 | 2006-01-30 |
| 1588634521 | Justin C Holt | Optometrist | 81 N 2000 W, Suite F-1, West Point, UT 84015 | 2006-01-24 |
| 1265433395 | Dean L. Lauritzen | Optometrist | 101 W Decatur St, West Point, NE 68788-1407 | 2005-08-10 |
| 1467003061 | Kristen Midori Omi | Optometrist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-25 |
| 1598310286 | Conner Millwood Robbins | Optometrist | 400 3rd Ave, West Point, GA 31833-1522 | 2019-08-08 |
| 1366824781 | Adam David Jackler | Optometrist | 900 Washington Rd, West Point, NY 10996-1109 | 2015-06-22 |
| 1851731459 | Brandon Ridder | Optometrist | 101 W Decatur St, West Point, NE 68788-1407 | 2013-06-27 |
| 1396028510 | West Point Eye Center LLC | Optometrist | 81 N 2000 W, Suite F-1, West Point, UT 84015 | 2011-09-23 |
| Find all providers in WEST POINT | ||||
| City | WEST POINT |
| Zip Code | 68788 |
Please comment or provide details below to improve the information on NORTHEAST EYECARE PC.
| 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.