Provider Demographics
NPI:1982865838
Name:LAYTON, CATHERINE (OD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:LAYTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1401 INFINITY RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-3712
Mailing Address - Country:US
Mailing Address - Phone:402-420-0880
Mailing Address - Fax:402-420-0668
Practice Address - Street 1:1401 INFINITY RD STE D
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3713
Practice Address - Country:US
Practice Address - Phone:402-420-0880
Practice Address - Fax:402-420-0668
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1301152W00000X, 152WV0400X, 152WX0102X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE093044002Medicare PIN
NE198877002Medicare PIN
NE094484002Medicare PIN