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DR. ALEX MICHAEL VAN KOOTEN-THARMAN O.D.
NPI 1801549506
Optometrist in Omaha, NE

Active since February 02, 2022PECOS EnrolledAccepts Medicare Assignment
17255 DAVENPORT ST STE 139, OMAHA, NE 68118(402) 763-6466(402) 939-0809 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2025, Feb 8, 2024, Nov 30, 2022 and 2 more (5 updates tracked since 2022).

About Dr. Alex Michael Van Kooten-tharman O.d. NPPES

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

DR. ALEX MICHAEL VAN KOOTEN-THARMAN O.D. (NPI 1801549506) is an individual optometrist in Omaha, Nebraska, licensed in Nebraska (1568) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Indiana University - School Of Optometry (2021).

NPPES Registry Identity

NPI1801549506
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEX MICHAEL VAN KOOTEN-THARMANCredential: O.D.
Location Address17255 DAVENPORT ST STE 139Omaha, NE 68118-4020
Mailing Address17255 Davenport St Ste 139Omaha, NE 68118-4020 · (402) 763-6466 · Fax (402) 939-0809
Phone(402) 763-6466
Fax(402) 939-0809
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2021
Enumeration DateFebruary 2, 2022
Last NPPES UpdateMay 6, 20255 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1801549506 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 · 1568
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.
17255 DAVENPORT ST STE 139, Omaha, NE 68118
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Other Names 1

Other Name (5)Dr. Alex Michael Tharman O.d.

Secondary Practice Location 1

Location 117660 Wright St Ste 18Omaha, NE 68130-2899 · Phone (402) 991-0160 · Fax (402) 206-0885

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alex Michael Van Kooten-tharman O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850787581
PECOS Enrollment IDI20220406001597
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alex Van Kooten-tharman's NPI number?

The NPI number for Alex Van Kooten-tharman is 1801549506. It was assigned to this individual provider in the NPPES registry on February 2, 2022. The provider is also known as Dr. Alex Michael Tharman O.D..

Where is Alex Van Kooten-tharman located?

Alex Van Kooten-tharman practices at 17255 Davenport St Ste 139, Omaha, NE 68118. The listed phone number is (402) 763-6466.

What is Alex Van Kooten-tharman's specialty?

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

Is Alex Van Kooten-tharman enrolled in Medicare?

Yes. Alex Van Kooten-tharman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alex Van Kooten-tharman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming and 6 other insurers list Alex Van Kooten-tharman 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 Alex Van Kooten-tharman was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.