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General NPI Number Information
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NPI Number | 1114133790
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Entity Type | Organization
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Legal Business Name | FEIDLER EYE CLINIC PC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 2900 W NORFOLK AVE
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City | NORFOLK
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State | NE
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Zip | 68701-4415
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Country | US
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Telephone | 402-371-8535
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Fax | 402-371-7881
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Provider Business Mailing Address
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Address Line | 2900 W NORFOLK AVE
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City | NORFOLK
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State | NE
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Zip | 68701-4415
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Country | US
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Telephone | 402-371-8535
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Fax | 402-371-7881
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JEFF KLEIN
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Credential | OD
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Telephone | 402-371-8535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1137
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License Number State | NE
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