Provision Eye Care LLC
NPI 1902256647 · Optometrist · Omaha, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provision Eye Care LLC is a Optometrist organization in Omaha, NE (NPI 1902256647).
Provider details
- NPI number
- 1902256647
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Daniel Jackson, Owner(402) 991-3131
- License
- 960 (NE)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-07-06
Frequently asked questions
- What is Provision Eye Care LLC's NPI number?
- Provision Eye Care LLC's National Provider Identifier (NPI) is 1902256647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provision Eye Care LLC?
- Provision Eye Care LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Provision Eye Care LLC located?
- Provision Eye Care LLC's practice location on file with NPPES is 713 N 114th St, Omaha, NE 68154-1515.
- What is Provision Eye Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Provision Eye Care LLC is (402) 991-3131.
- Does Provision Eye Care LLC accept Medicare?
- Provision Eye Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Provision Eye Care LLC?
- The authorized official listed on Provision Eye Care LLC's NPPES record is Daniel Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provision Eye Care LLC's NPI active?
- Yes — Provision Eye Care LLC's NPI (1902256647) is active in the NPPES registry as of the last update on 2016-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.