Individual provider Active NPI

Jeffrey Scott Klein, O.D.

  • Optometrist
  • Norfolk, NE
National Provider Identifier
1902802994
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1137 Issued in NE
Practice address
2900 W Norfolk Ave
Norfolk, NE 68701-4415
Phone
(402) 371-8535
Fax
(402) 371-7881
NPI assigned
Jun 23, 2005
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
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

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

Other identifiers 5

IdentifierTypeStateIssuer
1137OtherNESTATE LICENSE
36317OtherNEBLUE CROSS BLUE SHIELD
310OtherNESTATE THERAPEUTIC LICENSE
47053709202MedicaidNE
2200221OtherNEUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100715000618 NE Practitioner - Optometry 0648302349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crete Family Eyecare PCGroup PAC ID 0446797021, 2 clinicians
Feidler Eye Clinic PCGroup PAC ID 9739135401, 4 clinicians

Practice addresses (Care Compare)

1119 Main Ave
Crete, NE 68333-2259
Phone (402) 826-2246

2800 W Norfolk Ave
Norfolk, NE 68701-4402

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feidler Eye Clinic PC Optometrist CurrentSince Apr 1, 2003 Accepting new patients
Crete Family Eyecare PC Optometrist CurrentSince Jul 8, 2024 Accepting new patients
Feidler Optical Company Past Accepting new patients

Locations

1119 Main Ave
Crete, NE 68333
Phone (402) 826-2236

2800 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8535

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

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1902802994",
    "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": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1137",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36317",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE THERAPEUTIC LICENSE",
            "identifier": "310",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053709202",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200221",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.