| Provision Eye Care Llc | |
|
713 N 114th St, Omaha, NE 68154-1515 | |
| (402) 991-3131 | |
| Not Available |
| Full Name | Provision Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 713 N 114th St, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902256647 | NPI | - | NPPES |
| P00393695 | Other | NE | RR MEDICARE |
| 10025388400 | Medicaid | NE | |
| 904415 | Other | NE | SHARE ADVANTAGE |
| 37154 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 960 (Nebraska) | Primary |
| Provider Name | Daniel M Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972502391 PECOS PAC ID: 5890793038 Enrollment ID: I20061121000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Provision Eye Care Llc 713 N 114th St, Omaha, NE 68154-1515 Ph: (402) 991-3131 | Provision Eye Care Llc 713 N 114th St, Omaha, NE 68154-1515 Ph: (402) 991-3131 |
Krystal Ann Wells, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4353 Dodge St, Omaha, NE 68131 Phone: 402-552-2020 Fax: 402-552-2367 | |
Heartland Eye Consultants Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9900 Nicholas St Ste 250, Omaha, NE 68114 Phone: 402-493-6500 Fax: 402-493-4370 | |
Jennifer Lynn Brammeier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12850 L Street, Walmart Vision Center, Omaha, NE 68137 Phone: 402-697-1852 Fax: 402-697-4834 | |
Hospital Eye Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St, Ste 3700, Omaha, NE 68131 Phone: 402-280-4102 | |
Dr. Matthew Luke Willis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4353 Dodge St, Omaha, NE 68131 Phone: 402-552-2020 Fax: 402-552-2367 | |
Muriel Jepsen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6304 N 99th St, Omaha, NE 68134 Phone: 402-492-9440 Fax: 402-492-9441 | |
Frank E Graf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-2020 Fax: 402-559-5514 |