OPTICAL GALLERY
NPI 1710166996
Optometrist in Kearney, NE

Active since October 24, 2007
220 W 39TH ST, KEARNEY, NE 68845(308) 234-9913(308) 234-4006 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optical Gallery NPPES

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

OPTICAL GALLERY (NPI 1710166996) is a healthcare organization registered as an optometrist in Kearney, Nebraska and active in the NPI registry since October 2007. The organization lists Mandy Jane Johnson, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1710166996
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMANDY O.D., P.C.
Location Address220 W 39TH STKearney, NE 68845-2802
Mailing Address5403 N AveKearney, NE 68847-8514 · (308) 234-9133 · Fax (308) 234-4006
Fax(308) 234-4006
Organization SubpartNo
Authorized OfficialMandy Jane JohnsonOwner/optometrist · (308) 234-9913
Enumeration DateOctober 24, 2007
Last NPPES UpdateNovember 12, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1710166996 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 · 1220
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.
220 W 39TH ST, Kearney, NE 68845

Other Names 1

Doing Business AsOptical Gallery

Other Identifiers 2

Medicaid10025556000NE
Other37173Bcbs

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optical Gallery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Optical Gallery, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1497245948
5403 N AVE
Kearney, NE 68847
(308) 234-9913
✔ PECOS✔ Accepts Medicare1.9 mi
Optometry
NPI 1679539274
5403 N AVE
Kearney, NE 68847
(308) 234-9133
✔ PECOS✔ Accepts Medicare1.9 mi
Optometry
NPI 1134569155
1414 W 12TH ST
Hastings, NE 68901
(402) 462-9191
✔ PECOS37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mandy O.D., P.C.'s NPI number?

The NPI number for Mandy O.D., P.C. is 1710166996. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as Optical Gallery.

Where is Mandy O.D., P.C. located?

Mandy O.D., P.C. is located at 220 W 39th St, Kearney, NE 68845. The listed phone number is (308) 234-9913.

What is Mandy O.D., P.C.'s specialty?

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

Is Mandy O.D., P.C. enrolled in Medicare?

Yes. Mandy O.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mandy O.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Mandy O.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mandy O.D., P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mandy O.D., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandy O.D., P.C. was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.