Organization Active NPI

Feidler Eye Clinic PC

  • Optometrist
  • Norfolk, NE
National Provider Identifier
1114133790
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1137 Issued in NE
Legal business name
FEIDLER EYE CLINIC PC
Practice address
2900 W Norfolk Ave
Norfolk, NE 68701-4415
Phone
(402) 371-8535
Fax
(402) 371-7881
NPI assigned
May 14, 2007
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeff Klein, OD
Title
Optometrist
Phone
(402) 371-8535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1137 NE Primary

Addresses

Primary practice location

2900 W Norfolk Ave
Norfolk, NE 68701-4415

Mailing address

2900 W Norfolk Ave
Norfolk, NE 68701-4415
Phone (402) 371-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324001224 NE Part B Supplier - Clinic/Group Practice 9739135401 Receives reassigned benefits from 5 practitioners
Practice locations: Norfolk, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2040578Feidler Eye Clinic, PC2900 West Norfolk Avenue, Norfolk, NE 68701Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Locations

2900 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8535

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1114133790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014415",
            "telephone_number": "402-371-8535",
            "fax_number": "402-371-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014415",
            "telephone_number": "402-371-8535",
            "fax_number": "402-371-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEIDLER EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-371-8535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.