Provider Demographics
NPI:1003944612
Name:DR VERNE CLAUSSEN JR PA
Entity Type:Organization
Organization Name:DR VERNE CLAUSSEN JR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAUSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-889-4387
Mailing Address - Street 1:115 WEST 3RD
Mailing Address - Street 2:
Mailing Address - City:ONAGA
Mailing Address - State:KS
Mailing Address - Zip Code:66521
Mailing Address - Country:US
Mailing Address - Phone:785-889-4387
Mailing Address - Fax:785-889-7112
Practice Address - Street 1:115 WEST 3RD
Practice Address - Street 2:
Practice Address - City:ONAGA
Practice Address - State:KS
Practice Address - Zip Code:66521
Practice Address - Country:US
Practice Address - Phone:785-889-4387
Practice Address - Fax:785-889-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS994-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0145000003Medicare NSC
KST4619Medicare UPIN
017090Medicare PIN
018080Medicare PIN