Organization Active NPI

Dr. Verne E Claussen Jr PA

  • Optometrist
  • Saint Marys, KS
National Provider Identifier
1790813699
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
994-3 Issued in KS
Legal business name
DR. VERNE E CLAUSSEN JR PA
Practice address
525 W Bertrand Ave
Saint Marys, KS 66536-1618
Phone
(785) 437-2978
Fax
(785) 437-6527
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Verne E Claussen Jr., OD
Title
President
Phone
(785) 437-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 994-3 KS Primary

Addresses

Primary practice location

525 W Bertrand Ave
Saint Marys, KS 66536-1618

Mailing address

525 W Bertrand Ave
Saint Marys, KS 66536-1618
Phone (785) 437-2978

Other identifiers 1

IdentifierTypeStateIssuer
100089650AMedicaidKS

National Provider Directory

National Provider Directory

Locations

525 W Bertrand Ave
Saint Marys, KS 66536
Phone (785) 437-2978

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1790813699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W BERTRAND AVE",
            "city": "SAINT MARYS",
            "state": "KS",
            "postal_code": "665361618",
            "telephone_number": "785-437-2978",
            "fax_number": "785-437-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W BERTRAND AVE",
            "city": "SAINT MARYS",
            "state": "KS",
            "postal_code": "665361618",
            "telephone_number": "785-437-2978",
            "fax_number": "785-437-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VERNE E CLAUSSEN JR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "CLAUSSEN",
        "authorized_official_first_name": "VERNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-437-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "994-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089650A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.