WAKAN PATH, LLC (NPI# 1730660580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730660580 |
| Entity Type | Organization |
| Organization Name | WAKAN PATH, LLC |
| Practice Address |
5018 Ames Ave Omaha NE 68104-2323 |
| Mailing Address |
4913 California St Omaha NE 68132-2417 |
| Practice Telephone | 4029709301 |
| Mailing Telephone | 4022106129 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | DR. LYNDON GRAVES (PRESIDENT) |
| Authorized Official Telephone | 4022106129 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 198 | NE | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4913 California St, Omaha, NE 681322417 | 4022106129 |
| Street Address |
5018 AMES AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68104-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215360730 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5018 Ames Ave, Omaha, NE 68104-2323 | 2013-08-20 |
| 1215425624 | Elizabeth Dawn Zmudzinski | Pharmacist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2018-05-01 |
| 1922595065 | Kale Breinig | Pharmacist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2018-04-14 |
| 1104361054 | Angela C Perez | Pharmacist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2017-01-02 |
| 1023446200 | Wal-mart Stores, Inc | Technician/Technologist | 5018 Ames Ave, Omaha, NE 68104-2323 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859698 | Sbevington's Mental Health Therapy | Counselor | 5519northwest Radial Highway, 5519northwest Radial Highway Suite3, Omaha, NE 68104 | 2018-01-22 |
| 1679923049 | Kimberly Anne Mueller | Counselor | 6107 Maple Street, Suite B, Omaha, NE 68104 | 2016-06-16 |
| 1194009217 | Margaret Mary Zipperlen | Technician/Technologist | 6767 Maple St., Omaha, NE 68104 | 2011-10-07 |
| 1437439668 | Sandra Bojanski | Occupational Therapy Assistant | 4809 Redman Ave., Omaha, NE 68104 | 2011-08-19 |
| 1821304825 | Benson Community Health Center | Clinic/Center | 5420 N.rth West Radial Highway, Omaha, NE 68104 | 2010-08-27 |
| 1861723736 | William Lee Wolaver | Occupational Therapy Assistant | 2414 N 60th St, Omaha, NE 68104 | 2010-01-16 |
| 1205057718 | David John Millea | Dentist | 2746 No 63rd St, Omaha, NE 68104 | 2007-05-01 |
| 1558410829 | Catherine Y Cook | Counselor | 3525 Evans Street, Omaha, NE 68104 | 2007-01-09 |
| 1629143052 | Paula Ann Moritz | Counselor | 3300 No 60th St, Omaha, NE 68104 | 2006-11-21 |
| 1366538597 | Marla Jo Kosse | Physical Therapy Assistant | 4101 Woolworth Avenue, Omaha, NE 68104 | 2006-10-05 |
| Find all providers in zip 68104 | ||||
| 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 |
|---|---|---|---|---|
| 1407457690 | Vision Specialists On Harrison LLC | Optometrist | 6720 S 178th Street, Omaha, NE 68135 | 2020-11-04 |
| 1366085656 | Bright Eyes Optometry, LLC | Optometrist | 6005 Maple St # A, Omaha, NE 68104-4195 | 2019-10-19 |
| 1215579180 | Klute Optometry Services, LLC | Optometrist | 15655 Pacific St Ste 101, Omaha, NE 68118-2114 | 2019-10-12 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1215590898 | Kathleen Nicole Holthaus | Optometrist | 3606 N 156th St Ste 105, Omaha, NE 68116-2163 | 2019-04-18 |
| 1154895621 | International Eyecare Center, Inc. | Optometrist | 16016 Evans St Ste 101, Omaha, NE 68116-6457 | 2019-01-17 |
| 1114410347 | Laura Armitage | Optometrist | 11811 Fort St Ste 105, Omaha, NE 68164-2134 | 2018-06-12 |
| 1700238326 | Dustin Strasburg | Optometrist | 304 N 179th St Ste 203, Omaha, NE 68118-3569 | 2016-07-07 |
| 1669855862 | Amber Gonka | Optometrist | 3506 N 147th St, #104, Omaha, NE 68116-8141 | 2015-07-07 |
| 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.