Steven R Kleen Optometric Corp | |
2050 W Redlands Blvd Redlands CA 92373-6228 | |
(909) 792-3457 | |
(909) 307-1863 |
Full Name | Steven R Kleen Optometric Corp |
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Speciality | Clinic/Center |
Location | 2050 W Redlands Blvd, Redlands, California |
Authorized Official Name and Position | Norma Avelar (OFFICE MANAGER) |
Authorized Official Contact | 9097923457 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Steven R Kleen Optometric Corp 363 Island Oak Ln Goleta CA 93117-2478 Ph: (909) 792-3457 | Steven R Kleen Optometric Corp 2050 W Redlands Blvd Redlands CA 92373-6228 Ph: (909) 792-3457 |
NPI Number | 1386876985 |
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Provider Enumeration Date | 08/14/2009 |
Last Update Date | 12/14/2018 |
Medicare PECOS PAC ID | 4284521139 |
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Medicare Enrollment ID | O20100712000236 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386876985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Steven Roy Kleen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063497741 PECOS PAC ID: 9638066582 Enrollment ID: I20081205000476 |
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