Organization · Type 2 NPI
Adam Ketteler, O.d.
Eyewear Supplier · Atkinson, NE
NPI number
1710123781
Active
Practice location
313 W Pearl St
Atkinson, NE 68713-4958
Fax (402) 925-2306
Mailing address
PO Box 995
Atkinson, NE 68713-0995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 1218 (NE) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3 other providers at this address
About NPI 1710123781
Adam Ketteler, O.d.'s National Provider Identifier is 1710123781, issued on Dec 22, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Atkinson, NE. The record was last updated on Dec 23, 2008.