Organization Active NPI

Steven M Kleen Optometric Corporation

  • Optometrist
  • Lompoc, CA
National Provider Identifier
1003321845
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15248TLG Issued in CA
Legal business name
STEVEN M KLEEN OPTOMETRIC CORPORATION
Practice address
701 W Central Ave
Lompoc, CA 93436-2829
Phone
(805) 737-1826
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Matthew Kleen, ODNPI 1376924779
Title
President/Owner
Phone
(805) 722-4748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 15248TLG CA Primary

Addresses

Primary practice location

701 W Central Ave
Lompoc, CA 93436-2829

Mailing address

640 Mayrum St
Santa Barbara, CA 93111-2719
Phone (805) 722-4748

Other identifiers 1

IdentifierTypeStateIssuer
1376924779OtherCANPI TYPE 1 (INDIVIDUAL)

Other names 1

  • Kleen Optometry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1003321845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MAYRUM ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112719",
            "telephone_number": "805-722-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W CENTRAL AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934362829",
            "telephone_number": "805-737-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M KLEEN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "KLEEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "805-722-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15248TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 (INDIVIDUAL)",
            "identifier": "1376924779",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kleen Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.