Individual provider Active NPI

Amy Elaine Klein, O.D.

  • Optometrist
  • Offutt AFB, NE
National Provider Identifier
1962719294
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1346 Issued in NE
Practice address
106 Meyer Ave
BLDG 166
Offutt AFB, NE 68113
Phone
(402) 292-0396
NPI assigned
Sep 8, 2010
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1346 NE Primary

Addresses

Primary practice location

106 Meyer Ave
BLDG 166
Offutt AFB, NE 68113

Mailing address

18013 Dewey Cir
Elkhorn, NE 68022-5670
Phone (308) 238-4630

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
I20100923001251 NE Practitioner - Optometry 3971629288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiburon Family Eyecare PCGroup PAC ID 8022255181, 2 clinicians
Klein Eyecare PCGroup PAC ID 4981912664, 3 clinicians
Allure Family Eyecare LLCGroup PAC ID 7214468370, 2 clinicians

Practice addresses (Care Compare)

11314 Wickersham Blvd
Suite 300
Gretna, NE 68028-6990
Phone (402) 933-5775

16959 Evans Plaza
Target Optical
Omaha, NE 68116-2388
Phone (402) 289-0063

20410 Laramie Rd
Elkhorn, NE 68022-0000
Phone (402) 289-2020

5806 N 209TH St
Elkhorn, NE 68022-5337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1346NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburon Family Eyecare, PC Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Bellevue Family Eyecare Center PC Optometrist CurrentSince Aug 14, 2010 Accepting new patients
Allure Family Eyecare LLC Optometrist CurrentSince Aug 29, 2024 Accepting new patients
Klein Eyecare PC Optometrist CurrentSince Aug 29, 2015 Accepting new patients
Family Eyecare Center, Inc. Optometrist Past Accepting new patients
Acuity Vision Care, P.C. Optometrist Past Accepting new patients

Locations

11513 S 42nd St
Ste 100
Bellevue, NE 68123
Phone (402) 292-0396

20410 Laramie Rd
Elkhorn, NE 68022
Phone (402) 289-2020

11314 Wickersham Blvd
Ste 300
Gretna, NE 68028
Phone (402) 933-5775

106 Meyer Ave
Bldg 166
Omaha, NE 68113
Phone (402) 291-3212

16959 Evans Plz
Omaha, NE 68116
Phone (402) 289-0063

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1962719294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18013 DEWEY CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225670",
            "telephone_number": "308-238-4630",
            "fax_number": "402-289-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEYER AVE",
            "address_2": "BLDG 166",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "68113",
            "telephone_number": "402-292-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Offutt AFB, NE

Sources for this page

Verify at the official NPI Registry.