Klemke, Matthew F
Klemke, Matthew F is an individual health care provider with primary practice located at 304 North 179Th Street Suite 203, Omaha NE 68118-3569. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Klemke, Matthew F can be contacted via phone (402) 614-4322.Contact Information
Primary practice address
304 North 179Th Street Suite 203
Omaha NE 68118-3569
Phone: (402) 614-4322
Fax: (402) 614-4475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1178 | Nebraska |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1178 | Nebraska |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1178 | Nebraska |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1178 | Nebraska |
Profile Details
| NPI number | 1811918360 |
|---|---|
| LBN Legal business name | Klemke, Matthew F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jan 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811918360 | NPPES |
| Nebraska | Other | 37054 | BCBS |
| Nebraska | Other | P00219077 | BCBS |
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