LEGACY EYECARE, LLC (NPI# 1790718328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790718328 |
| Entity Type | Organization |
| Organization Name | LEGACY EYECARE, LLC |
| Practice Address |
17520 Wright St Ste 105 Omaha NE 68130-4657 |
| Practice Telephone | 4026143200 |
| Practice Fax Number | 4026147070 |
| Mailing Telephone | 4026143200 |
| Mailing Fax Number | 4026147070 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | JEFFREY JOHN BREWER (PRESIDENT) |
| Authorized Official Telephone | 4026143200 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1254 | NE | Eye and Vision Services Providers |
| Street Address |
17520 WRIGHT ST STE 105 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346273976 | Jeffrey John Brewer | Optometrist | 17520 Wright St Ste 105, Omaha, NE 68130-4657 | 2006-07-08 |
| 1174003941 | Jacque Langford-karre | Nurse Practitioner | 17520 Wright St Ste 105, Omaha, NE 68130-4657 | 2018-08-20 |
| 1447300447 | Julie Spencer | Family Medicine | 17520 Wright St Ste 105, Omaha, NE 68130-4657 | 2007-01-11 |
| 1578584983 | Jaimie Lynn Kruger | Optometrist | 17520 Wright St Ste 105, Omaha, NE 68130-4657 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on LEGACY EYECARE, LLC.
| 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.