ADAM KETTELER O.D. NPI 1710123781

NPI Information

  • NPI: 1710123781
  • Provider Name: ADAM KETTELER, O.D.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: KETTELER EYECARE
  • Address: 313 W PEARL ST
    ATKINSON, NE
    ZIP 68713
  • Phone: (402) 925-2669

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NPI Details

ADAM KETTELER, O.D. is an eyewear supplier in Atkinson, NE. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ADAM KETTELER, O.D. NPI is 1710123781. The provider is registered as an organization entity type.
The provider Is Doing Business As Ketteler Eyecare.

The provider's business location address is:

313 W PEARL ST
ATKINSON, NE
ZIP 68713-958
Phone: (402) 925-2669
Fax: (402) 925-2306

The provider's authorized official is Adam J Ketteler .
The authorized official title is Optometrist/owner and has the following contact phone number (402) 925-2669.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 12/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier1218NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16136760001MEDICARE NSCNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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