Provider Demographics
NPI:1497245948
Name:FLEECS, KATHERINE HELEN (OD)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:HELEN
Last Name:FLEECS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:HELEN
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5403 N AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8514
Mailing Address - Country:US
Mailing Address - Phone:308-234-9913
Mailing Address - Fax:308-234-4006
Practice Address - Street 1:5403 N AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8514
Practice Address - Country:US
Practice Address - Phone:308-234-9913
Practice Address - Fax:308-234-4006
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1487152W00000X
MO2019018265152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO60801017OtherBLUE CROSS BLUE SHIELD OF KANSAS CITY
MOP02532104OtherMEDICARE RR