Active NPI
Michael D Klautzsch, OD
- Optometrist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2515ATI
- Practice address
- 1470 SW Knoll Ave Ste 102
Bend, OR 97702-3154 - Phone
- (541) 797-0295
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2515ATI | OR | Primary |
Addresses
Primary practice location
1470 SW Knoll Ave Ste 102
Bend, OR 97702-3154
Mailing address
1470 SW Knoll Ave Ste 102
Bend, OR 97702-3154
Phone (541) 797-0295
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079328000 | Other | OR | REGENCE BLUE CROSS |
| 079328001 | Other | OR | RBCBS MED ADVANTAGE |
| 074950 | Medicaid | OR | |
| 079327001 | Other | OR | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1470 SW Knoll Ave
Suite 102
Bend, OR 97702-3154
Phone (541) 797-0295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2515 | OR | MD | Clinical Psychologist |
| 2515ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Care of Oregon | Optometrist | Current | Accepting new patients |
| Bend Family Vision Care LLC | Optometrist | Current | Accepting new patients |
| All Family Vision LLC | Optometrist | Current | Accepting new patients |
| Optometric Care of Oregon | Optometrist | Current | Accepting new patients |
Locations
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
1470 SW Knoll Ave
Ste 102
Bend, OR 97702
Phone (503) 329-1696
1597 SW 53rd St
Corvallis, OR 97333
Phone (541) 757-8844
207 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 338-4844
22640 SE Stark St
Gresham, OR 97030
Phone (503) 667-0441
1810 Summer St NE
Salem, OR 97301
Phone (503) 364-0767
Organizations & group practices 4
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.
-
- Optometrist
- Corvallis, OR
- NPI 1255600763
-
- Optometrist
- Bend, OR
- NPI 1619759453
-
- Optometrist
- Gresham, OR
- NPI 1396400313
-
- Optometrist
- Eugene, OR
- NPI 1215500855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1164601167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 SW KNOLL AVE STE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977023154",
"telephone_number": "541-797-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 SW KNOLL AVE STE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977023154",
"telephone_number": "541-797-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAUTZSCH",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "2515ATI",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS",
"identifier": "079328000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBCBS MED ADVANTAGE",
"identifier": "079328001",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074950",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "079327001",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.