Active NPI
Daniel Robert Klemp, O.D.
- Optometrist
- Lewiston, ID
National Provider Identifier
1174513238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP897
- Practice address
- 1910 Idaho Street
Lewiston, ID 83501-2053 - Phone
- (208) 743-4022
- Fax
- (208) 746-0170
- NPI assigned
- Oct 28, 2005
- 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 | ODP897 | ID | Primary |
Addresses
Primary practice location
1910 Idaho Street
Lewiston, ID 83501-2053
Mailing address
1910 Idaho Street
Lewiston, ID 83501-2053
Phone (208) 743-4022
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KLEDA5047950479 | Other | WA | PREMERA |
| 000010015581 | Other | ID | REGENCE |
| 000309000 | Medicaid | ID | |
| V7167 | Other | ID | BLUE CROSS OF IDAHO |
| 2022739 | Medicaid | WA | |
| 0133176 | Other | ID | DEPT OF LABOR & INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- 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
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1910 Idaho St
Lewiston, ID 83501-2564
Phone (208) 743-4022
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.17 of 100
- Quality
- 88.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 897 | ID | MD | Mental Health Counselor |
| ODP897 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klemp Optometry | Optometrist | Current | Accepting new patients |
Locations
1910 Idaho St
Lewiston, ID 83501
Phone (208) 743-4022
307 19th St
Ste A3
Lewiston, ID 83501
Phone (208) 743-4022
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Lewiston, ID
- NPI 1972684488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1174513238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 IDAHO STREET",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012053",
"telephone_number": "208-743-4022",
"fax_number": "208-746-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 IDAHO STREET",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012053",
"telephone_number": "208-743-4022",
"fax_number": "208-746-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMP",
"first_name": "DANIEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "KLEDA5047950479",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "000010015581",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000309000",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "V7167",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022739",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRY",
"identifier": "0133176",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.