Matthew F Klemke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1178 Issued in NE

Practice address

304 North 179TH Street
Suite 203
Omaha, NE 68118-3569

Phone

(402) 614-4322

Fax

(402) 614-4475

NPI assigned

Jul 21, 2006

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elkhorn Ridge Vision PCGroup PAC ID 2567402894, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elkhorn Ridge Vision PC

  • Optometrist
  • Omaha, NE
  • NPI 1871514331
  Medicare reassignment Care Compare group Authorized official
• Elkhorn Ridge Vision PC

  dba ViewPointe Vision-Giles

  • Optometrist
  • Omaha, NE
  • NPI 1316586464
  NPD
• Heidi a Hanisch OD PC

  • Optometrist
  • Fremont, NE
  • NPI 1497079644
  NPD (past)
• Vision Center Eye Care LLC

  • Optometrist
  • Fremont, NE
  • NPI 1962816124
  NPD (past)
• Professional Eyecare Metro North Inc

  • Optometrist
  • Kansas City, MO
  • NPI 1568513836
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1811918360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N. 179TH STREET",
            "address_2": "SUITE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183569",
            "telephone_number": "402-614-4322",
            "fax_number": "402-614-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NORTH 179TH STREET",
            "address_2": "SUITE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183569",
            "telephone_number": "402-614-4322",
            "fax_number": "402-614-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMKE",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1178",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NE",
            "license": "1178",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NE",
            "license": "1178",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NE",
            "license": "1178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37054",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DD2869",
            "identifier": "P00219077",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Kleine, R.PH.
• Marena Nicole Kleine, APRN, FNP-BC
• Keaton Kleiner, LIMHP
• Whitney Kleiner, FNP-C
• Katie Leigh Klem
• Amanda Ann Klemm, PHARMD
• Katie Klemmensen
• Ashley N Klepinger, RN
• Ray A. Klepinger, D.C.
• Christian Nickole Klepper

• 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 Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.