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WAKAN PATH, LLC
NPI 1730660580
Optometrist in Omaha, NE

Active since August 28, 2018
5018 AMES AVE, OMAHA, NE 68104(402) 970-9301 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2018, Aug 28, 2018 (2 updates tracked since 2018).

About Wakan Path, Llc NPPES

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

WAKAN PATH, LLC (NPI 1730660580) is a healthcare organization registered as an optometrist in Omaha, Nebraska and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Omaha and lists Lyndon Graves, President, as its authorized official.

NPPES Registry Identity

NPI1730660580
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWAKAN PATH, LLC
Location Address5018 AMES AVEOmaha, NE 68104-2323
Mailing Address4913 California StOmaha, NE 68132-2417 · (402) 210-6129
Phone(402) 970-9301
Organization SubpartNo
Authorized OfficialLyndon GravesPresident · (402) 210-6129
Enumeration DateAugust 28, 2018
Last NPPES UpdateNovember 13, 20182 updates tracked since enumeration
✔ NPI 1730660580 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 · 198
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.
5018 AMES AVE, Omaha, NE 68104
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Secondary Practice Location 1

Location 14913 California StOmaha, NE 68132-2417 · Phone (402) 210-6129

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 5

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

WAL-MART STORES, INC
Eyewear Supplier
5018 AMES AVE
OMAHA, NE 68104
Douglas County (479) 273-4885
DR. ANGELA C PEREZ PHARMD
Pharmacist
5018 AMES AVE
OMAHA, NE 68104
Douglas County (402) 970-9304
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
5018 AMES AVE
OMAHA, NE 68104
Douglas County (402) 970-9304
ELIZABETH DAWN ZMUDZINSKI RPH
Pharmacist
5018 AMES AVE
OMAHA, NE 68104
Douglas County (402) 970-9304
KALE BREINIG PHARMD
Pharmacist
5018 AMES AVE
OMAHA, NE 68104
Douglas County (402) 970-9304

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 Wakan Path, LLC's NPI number?

The NPI number for Wakan Path, LLC is 1730660580. It was assigned to this organization in the NPPES registry on August 28, 2018.

Where is Wakan Path, LLC located?

Wakan Path, LLC is located at 5018 Ames Ave, Omaha, NE 68104. The listed phone number is (402) 970-9301.

What is Wakan Path, LLC'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 Wakan Path, LLC was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.