Provider Demographics
NPI:1285117382
Name:MATTHEW A SCHEKIRKE OD AND ASSOCIATES INC
Entity type:Organization
Organization Name:MATTHEW A SCHEKIRKE OD AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEKIRKE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-201-9888
Mailing Address - Street 1:11557 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68142-1608
Mailing Address - Country:US
Mailing Address - Phone:402-201-9888
Mailing Address - Fax:
Practice Address - Street 1:6304 N 99TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1528
Practice Address - Country:US
Practice Address - Phone:402-492-9400
Practice Address - Fax:402-492-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026691000Medicaid