Individual provider Active NPI

David S Klar, O.D.

  • Optometrist
  • Highland, MI
National Provider Identifier
1013033869
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002311 Issued in MI
Practice address
2942 E Highland Rd
Highland, MI 48356-2810
Phone
(248) 887-4175
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000404 MI Practitioner - Optometry 4385885094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002311MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia M Kaczmarek Optometrist CurrentSince Jul 12, 2013 Accepting new patients

Locations

2942 E Highland Rd
Highland, MI 48356
Phone (248) 887-4175

6756 Highland Rd
Waterford, MI 48327
Phone (248) 666-9700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002311 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

2942 E Highland Rd
Highland, MI 48356-2810

Mailing address

2942 E Highland Rd
Highland, MI 48356-2810

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2013.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1013033869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAR",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.