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Deactivated NPI 1982696563 Deactivated / Inactive NPI Female Practitioner

Dr. Heidi E Wise , OD

Optometrist • Lincoln, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Heidi Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Heidi Wise, OD was a registered Optometrist practicing in Lincoln, NE. Throughout an active medical career spanning 1 years, Dr. Wise provided care at the practice location at 1501 PINE LAKE RD until profile deactivation on 2006-03-21.

Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of optic nerve, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1501 Pine Lake Rd
Suite 1

Lincoln, NE 685123692

Telephone 4024217773
Fax 4024217859
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lincoln, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
72 Specialists

Practicing in Lincoln, NE (469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
38 38 $270.00 $114.63
92133 Imaging of optic nerve
28 28 $89.00 $33.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 24 $236.00 $118.90
92134 Imaging of retina
26 26 $89.00 $36.70
99213 Established patient office or other outpatient visit, typically 15 minutes
19 19 $162.00 $84.67
92004 New patient complete exam of visual system
11 11 $323.00 $135.93

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NE 1124

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100249863-00 (NE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Steven Wise , OD

Optometrist - Sports Vision

NPI 1033161245

Doctor of Optometry

NPI 1316409915
NPI 1487716395

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 1501 PINE LAKE RD, SUITE 1, LINCOLN, NE 685123692 (Tel: 4024217773)

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Updated Business Mailing Address July 08, 2007

Registered at 1501 PINE LAKE RD, SUITE 1, LINCOLN, NE 685123692 (Tel: 4024217773)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HEIDI WISE, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1124 in NE)

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NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982696563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: July 08, 2007
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

1501 Pine Lake Rd, Suite 1

Lincoln, NE 685123692

Phone: 4024217773

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.