Provider Demographics
NPI:1881659241
Name:TOMSEN, KATRINA MAE (OD)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:MAE
Last Name:TOMSEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:328 WEST NORFOLK AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5233
Mailing Address - Country:US
Mailing Address - Phone:402-379-3937
Mailing Address - Fax:402-379-2405
Practice Address - Street 1:328 WEST NORFOLK AVENUE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5233
Practice Address - Country:US
Practice Address - Phone:402-379-3937
Practice Address - Fax:402-379-2405
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1161152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist