Klute Optometry Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KLUTE OPTOMETRY SERVICES, LLC

Doing business as

Pacific Family Vision

Practice address

15655 Pacific St Ste 101
Omaha, NE 68118-2114

Phone

(402) 697-5122

NPI assigned

Oct 12, 2019

Organization subpart

No

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

Authorized official

Name

Kyle Klute, ODNPI 1235556804

Title

Optometrist

Phone

(402) 309-9244

Specialties & licenses 1

Addresses

Other names 1

• Pacific Family Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Klute

  • Optometrist
  • Battle Creek, MI
  • NPI 1235556804

  NE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1215579180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182114",
            "telephone_number": "402-697-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182114",
            "telephone_number": "402-697-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLUTE OPTOMETRY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "KLUTE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-309-9244",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Family Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha L Klunejko
• Linda Klusaw, PCA
• Natalie Klusaw, O.D.
• Sandra Klusaw, PCA
• Timothy Klusaw
• Jennifer Klute, M.S. ED.
• Kelsey Klute, M.D.
• Madison Nicole Klute
• Vivian Jean Klute
• Sara Elizabeth Kluver, D.D.S.

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.