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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jerry A Vaughan, O.D.

Optometrist in Kearney, NE · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467443804

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Registry record

Entity type Individual (Type 1)
Name Mr. Jerry A Vaughan
Credential O.D.
Sex Male
Practice address 411 W. 39th St., Kearney, NE, 68845
Fax (308) 865-2769
Enumeration date Nov 3, 2005
Last updated in NPPES Nov 18, 2009

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 834 (NE) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
6721 Other NE BLUE CROSS BLUE SHIELD NE
10025593300 Medicaid NE -
47077269013 Medicaid NE -
410016528 Other NE RAILROAD INDIV PROVIDER #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jerry Vaughan?
The National Provider Identifier (NPI) for Jerry Vaughan is 1467443804, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jerry Vaughan practice?
The practice location on file with NPPES is in Kearney, NE. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-18.