Healthcare Provider Details

I. General information

NPI: 1689771289
Provider Name (Legal Business Name): GEIGER & DIETZE OPHTHALMOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N KANSAS SUITE 300
HASTINGS NE
68901-4452
US

IV. Provider business mailing address

715 N KANSAS SUITE 300
HASTINGS NE
68901-4452
US

V. Phone/Fax

Practice location:
  • Phone: 402-462-9009
  • Fax: 402-462-8090
Mailing address:
  • Phone: 402-462-9009
  • Fax: 402-462-8090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL JAMES DIETZE
Title or Position: OWNER/OPERATOR
Credential: MD
Phone: 402-462-9009