PROFESSIONAL EYECARE SHADOW LAKE
NPI 1619121027
Optometrist in Papillion, NE

Active since November 12, 2008
7474 TOWNE CENTER PKWY, SUITE # 107, PAPILLION, NE 68046(402) 592-3266(402) 592-3249 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Eyecare Shadow Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL EYECARE SHADOW LAKE (NPI 1619121027) is a healthcare organization registered as an optometrist in Papillion, Nebraska and active in the NPI registry since November 2008. The organization lists Michael Martin Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1619121027
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEXPERT EYECARE SHADOW LAKE, PC
Location Address7474 TOWNE CENTER PKWY, SUITE # 107Papillion, NE 68046-4805
Mailing Address7474 Towne Center Pkwy, Suite # 107Papillion, NE 68046-4805 · (402) 592-3266
Fax(402) 592-3249
Organization SubpartNo
Authorized OfficialMichael Martin YoungOwner · (402) 393-5876
Enumeration DateNovember 12, 2008
Last NPPES UpdateJuly 13, 2009
NPI 1619121027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NE · NE1064
Definition
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.
7474 TOWNE CENTER PKWY, Papillion, NE 68046

Other Names 1

Doing Business AsProfessional Eyecare Shadow Lake

Other Identifiers 1

Medicare UPINU56740NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
7474 TOWNE CENTER PKWY, SUITE 107
PAPILLION, NE 68046
Optometrist
7474 TOWNE CENTER PKWY, STE 107
PAPILLION, NE 68046
Optometrist (Corneal and Contact Management)
7474 TOWNE CENTER PKWY
PAPILLION, NE 68046
Optometrist
7474 TOWNE CENTER PKWY, SUITE 107
PAPILLION, NE 68046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Expert Eyecare Shadow Lake, PC's NPI number?

The NPI number for Expert Eyecare Shadow Lake, PC is 1619121027. It was assigned to this organization in the NPPES registry on November 12, 2008. The provider is doing business as Professional Eyecare Shadow Lake.

Where is Expert Eyecare Shadow Lake, PC located?

Expert Eyecare Shadow Lake, PC is located at 7474 Towne Center Pkwy Suite # 107, Papillion, NE 68046. The listed phone number is (402) 592-3266.

What is Expert Eyecare Shadow Lake, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Expert Eyecare Shadow Lake, PC was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.