Healthcare Provider Details
I. General information
NPI: 1982865838
Provider Name (Legal Business Name): CATHERINE LAYTON O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/23/2008
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 INFINITY RD STE D
LINCOLN NE
68512-3713
US
IV. Provider business mailing address
1401 INFINITY RD SUITE D
LINCOLN NE
68512-3712
US
V. Phone/Fax
- Phone: 402-420-0880
- Fax: 402-420-0668
- Phone: 402-420-0880
- Fax: 402-420-0668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 1301 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WV0400X |
| Taxonomy | Vision Therapy Optometrist |
| License Number | 1301 |
| License Number State | NE |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WX0102X |
| Taxonomy | Occupational Vision Optometrist |
| License Number | 1301 |
| License Number State | NE |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152WL0500X |
| Taxonomy | Low Vision Rehabilitation Optometrist |
| License Number | 1301 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: