Professional Eyecare Shadow Lake – Optometrist, NPI 1619121027

Professional Eyecare Shadow Lake is a healthcare provider. based in Papillion, Nebraska. specializing in Optometrist. The organization holds a License No. NE1064 (NE). The NPI Number for Professional Eyecare Shadow Lake is 1619121027

Main info

Organization
Name
Professional Eyecare Shadow Lake
NPI
1619121027
Phone
(402) 592-3266
Address
7474 TOWNE CENTER PKWY
Authorized Official
DR. MICHAEL MARTIN YOUNG OWNER O.D
Enumeration Date
12 November 2008
Last Update Date
13 July 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Professional Eyecare Shadow Lake

  • 7474, Towne Center Parkway, Shadow Lake Towne Center, Papillion, Sarpy County, Nebraska, 68046, United States

    SUITE # 107

    PAPILLION, NE 680464805

    Phone: (402) 592-3266

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68046)

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Frequently asked questions

Is Professional Eyecare Shadow Lake listed with a National Provider Identifier?
Yes — Professional Eyecare Shadow Lake has NPI 1619121027 on file in the registry.
Is there an active status for Professional Eyecare Shadow Lake?
For scheduling context, Professional Eyecare Shadow Lake is shown as active in the registry.
How would a patient describe Professional Eyecare Shadow Lake's focus?
For Professional Eyecare Shadow Lake, the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with Professional Eyecare Shadow Lake?
Directory geography for Professional Eyecare Shadow Lake centers on Papillion, Nebraska.
When was this NPI issued?
Enumeration for Professional Eyecare Shadow Lake is noted as November 12, 2008 where the registry provides it.

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