Provider Demographics
NPI:1164636361
Name:CLEARMAN PC
Entity Type:Organization
Organization Name:CLEARMAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:TOMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-379-3937
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NE
Mailing Address - Zip Code:68959-0052
Mailing Address - Country:US
Mailing Address - Phone:402-393-9576
Mailing Address - Fax:402-373-9578
Practice Address - Street 1:1606 S 72ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1600
Practice Address - Country:US
Practice Address - Phone:402-373-9576
Practice Address - Fax:402-373-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE6155180001Medicare NSC