Healthcare Provider Details

I. General information

NPI: 1568595007
Provider Name (Legal Business Name): JOHN E BATEMAN O D P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/02/2025
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 N 17TH AVE
ASHLAND NE
68003-1209
US

IV. Provider business mailing address

705 N 17TH AVE
ASHLAND NE
68003-1209
US

V. Phone/Fax

Practice location:
  • Phone: 402-944-3339
  • Fax: 402-944-3330
Mailing address:
  • Phone: 402-944-3339
  • Fax: 402-944-3330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ANDREA JAE CARDA
Title or Position: PRESIDENT
Credential: OD
Phone: 402-296-2200