Organization
ROGER A KLASSEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A. KLASSEN O.D. (PRESIDENT)
(402) 597-8990
Entity
Organization
Contact information
Practice address
8525 S 71ST PLZ, PAPILLION, NE 68133-2100
(402) 597-8990
Mailing address
8504 S 100TH ST, LA VISTA, NE 68128-3072
(402) 597-8990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1055
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025067700
—
NE
Enumeration date
12/10/2008
Last updated
12/10/2008
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