Roger A Klassen (NPI# 1588665384, PAC ID# 2163582032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1588665384 |
PAC ID by PECOS | 2163582032 |
Professional Enrollment ID | I20081224000200 |
Full Name | Roger A Klassen |
Address |
8525 S 71st St Plz Papillion NE 68133-2100 |
Gender | M |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 1994 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
8525 S 71st St Plz, Papillion, NE 68133-2100 |
Street Address |
8525 S 71ST ST PLZ |
City | PAPILLION |
State | NE |
Zip | 68133-2100 |
City | PAPILLION |
Zip Code | 68133 |
Specialty | OPTOMETRY |
City + Specialty | PAPILLION + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.