NPIMap

Organization Active NPI

Roger a Klassen Inc

  • Optometrist
  • Papillion, NE
National Provider Identifier
1487899001
Registry record updated Dec 10, 2008
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1055 Issued in NE
Legal business name
ROGER A KLASSEN INC
Practice address
8525 S 71St PLZ
Papillion, NE 68133-2100
Phone
(402) 597-8990
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Roger A. Klassen, O.D.
Title
President
Phone
(402) 597-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1055 NE Primary

Addresses

Primary practice location

8525 S 71St PLZ
Papillion, NE 68133-2100

Mailing address

8504 S 100TH St
La Vista, NE 68128-3072
Phone (402) 597-8990

Other identifiers 1

IdentifierTypeStateIssuer
10025067700MedicaidNE

National Provider Directory

National Provider Directory

Locations

201 Capitol Beach Blvd
Lincoln, NE 68528
Phone (402) 435-1773

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1487899001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 S 100TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283072",
            "telephone_number": "402-597-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 S 71ST PLZ",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332100",
            "telephone_number": "402-597-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A KLASSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "KLASSEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-597-8990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025067700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.