Provider Demographics
NPI:1114133790
Name:FEIDLER EYE CLINIC PC
Entity Type:Organization
Organization Name:FEIDLER EYE CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-371-8535
Mailing Address - Street 1:2900 W NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4415
Mailing Address - Country:US
Mailing Address - Phone:402-371-8535
Mailing Address - Fax:402-371-7881
Practice Address - Street 1:2900 W NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4415
Practice Address - Country:US
Practice Address - Phone:402-371-8535
Practice Address - Fax:402-371-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1137152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099313Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER