Michael D Klautzsch OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2515ATI Issued in OR

Legal business name

MICHAEL D KLAUTZSCH OD PC

Practice address

1810 Summer St NE
Salem, OR 97301-7147

Phone

(503) 364-0767

Fax

(503) 581-8340

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Michael D Klautzsch

Title

OD/Owner

Phone

50333640767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1083864243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SUMMER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017147",
            "telephone_number": "503-364-0767",
            "fax_number": "503-581-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SUMMER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017147",
            "telephone_number": "503-364-0767",
            "fax_number": "503-581-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D KLAUTZSCH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "KLAUTZSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "50333640767"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2515ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grace Diane Michael
• Michaela Grillo LLC
• Rodney Douglas Michaels, MD

• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.