DR. JOSHUA PRILUCK (NPI# 1932360914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932360914 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA PRILUCK |
| Credential | M.D. |
| Practice Address |
10707 Pacific St Suite 121 Omaha NE 68114-4762 |
| Mailing Address |
10707 Pacific St Suite 205 Omaha NE 68114-4762 |
| Practice Telephone | 4023998055 |
| Practice Fax Number | 4029052448 |
| Mailing Telephone | 4023998055 |
| Mailing Fax Number | 4029052448 |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2014-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 41021 | IA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 27366 | NE | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME109443 | FL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 57.013147 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
10707 PACIFIC ST SUITE 121 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879733 | Euclid J. De Souza | Urology | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2005-05-23 |
| 1821517087 | Amy Elizabeth Bullington | Nurse Practitioner | 10707 Pacific St, Omaha, NE 68114-4762 | 2017-09-19 |
| 1346794559 | Rachelle Tappe | Nurse Practitioner | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2016-08-05 |
| 1386089332 | Marnie Elizbeth Jean Dellutri | Physician Assistant | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2013-05-03 |
| 1497095525 | Meghann M Reller | Nurse Practitioner | 10707 Pacific St, Suite 102, Omaha, NE 68114-4762 | 2013-02-27 |
| 1245535939 | Michaela Marie Duggan | Physician Assistant | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2011-01-11 |
| 1629372677 | April Hansen | Physician Assistant | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2011-01-05 |
| 1467604306 | Julie Diane Wilson | Nurse Practitioner | 10707 Pacific St, Suite 101, Omaha, NE 68114 | 2008-10-22 |
| 1235326877 | Donalee Kennedy | Nurse Practitioner | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2007-09-27 |
| 1215151543 | Charles Brent Wakefield II | Urology | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 | 2007-04-11 |
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| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164908869 | Vinicius Silbiger De Stefano | Ophthalmology | 985540 Nebraska Medical Center, Omaha, NE 68198-5540 | 2018-07-16 |
| 1144630468 | Peter David Simone | Ophthalmology | 16820 Frances St Ste 100, Omaha, NE 68130-2391 | 2014-05-08 |
| 1023306792 | Kugler Vision PC | Ophthalmology | 13923 Gold Circle, Omaha, NE 68144-2379 | 2011-07-15 |
| 1023160926 | Midwest Eye Care PC | Ophthalmology | 13500 California St, Omaha, NE 68154-5248 | 2007-01-18 |
| 1780754614 | Michael Xavier Mcintosh | Ophthalmology | 2732 South 87th Street, Omaha, NE 68124 | 2006-11-08 |
| 1013097385 | Sebastian J Troia | Ophthalmology | 515 N 98th St, Omaha, NE 68114-2344 | 2006-10-17 |
| 1346338092 | Retina Consultants of The Midlands PC | Ophthalmology | 10707 Pacific St Ste 205, Omaha, NE 68114-4762 | 2006-10-10 |
| 1174538185 | First Eye Associates PC | Ophthalmology | 8111 Dodge St Ste 143, Omaha, NE 68114-4100 | 2006-07-29 |
| 1972525996 | John D Peters | Ophthalmology | 2805 S 88th St Ste 102, Omaha, NE 68124 | 2006-07-25 |
| 1043269400 | Richard H Legge | Ophthalmology | 7810 Davenport St, Omaha, NE 68114-3629 | 2006-05-10 |
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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.