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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER A KLASSEN, OD

Deactivated

ROGER A KLASSEN, OD is a Optometrist healthcare provider located in LAVISTA, Nebraska. NPI 1588665384 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · LAVISTA, NE

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1588665384
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2005 (0.63013698630137 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 21, 2006
Licenses
1055 (NE)
14293 (KS)
2153 (IA)
18002700 (IN)

Practice Information

Address
7904 S 83RD ST
LAVISTA, NE, 681282774
Browse NE providers · Browse ZIP 68128
Phone
4025978990
Fax
4025978992
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in LAVISTA, NE

Name Credential NPI
DR. DONALD R KRYSL OD 1730118233
DR. CARA JANINE THOMPSON OD 1083722599
JENNIFER R MCINTYRE O.D. 1215069133
BRADLEY JAMES CARPENTER O.D. 1144427451
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.