Provider Demographics
NPI:1851349237
Name:CLAUSSEN, VERNE (OD)
Entity Type:Individual
Prefix:DR
First Name:VERNE
Middle Name:
Last Name:CLAUSSEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31644 KUENZLI CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:KS
Mailing Address - Zip Code:66401-8739
Mailing Address - Country:US
Mailing Address - Phone:785-765-2291
Mailing Address - Fax:785-437-6527
Practice Address - Street 1:525 W BERTRAND AVE
Practice Address - Street 2:
Practice Address - City:ST MARYS
Practice Address - State:KS
Practice Address - Zip Code:66536-1618
Practice Address - Country:US
Practice Address - Phone:785-437-2978
Practice Address - Fax:785-437-6527
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS994-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS017108Medicare PIN
KS018080Medicare PIN
KST43619Medicare UPIN
KS0145000001Medicare NSC
KS0145000003Medicare NSC