NPI 1073855243 · live from the CMS NPI Registry
Jesse Himebaugh, MD
Ophthalmology in Omaha, NE. National Provider Identifier 1073855243, active.
NPI record
| NPI | 1073855243 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4353 Dodge St, Omaha, NE 68131 |
| Practice phone | 402-552-2020 |
| Enumerated | March 26, 2013 |
| Last updated | September 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 2017007168 (MO) |
| Ophthalmology | 207W00000X | 45207 (IA) |
| Ophthalmology primary | 207W00000X | 30789 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.