Jil Klein, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TA1384 Issued in MD

Practice address

1504 #20 S. Salisbury Blvd.
Court Plaza
Salisbury, MD 21804

Phone

(410) 334-3900

Fax

(410) 334-3955

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Jil Klein - Delmarva Vision Assoc's, P.C.

  • Corneal and Contact Management Optometrist
  • Salisbury, MD
  • NPI 1639392509
  NPD (past) Authorized official
• Dr. Jil Klein - Ocean Pines Vision Care, PC

  • Corneal and Contact Management Optometrist
  • Ocean Pines, MD
  • NPI 1417171588
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174644892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 S SALISBURY BLVD",
            "address_2": "1504 #20 S. SALISBURY BLVD.",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017165",
            "telephone_number": "410-334-3900",
            "fax_number": "410-334-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 #20 S. SALISBURY BLVD.",
            "address_2": "COURT PLAZA",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-334-3900",
            "fax_number": "410-334-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERALBLUECROSSBLUESHIE",
            "identifier": "R5850001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "54699105",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "3116528",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten a. Culler,LCSW-C, LLC (Kirsten Culler, LCSW-C, LLC)
• Anthony J Kirtsos Jr., LGSW
• Michael Patrick Kirtsos, R.D., L.D.N.
• Katherine Kitzrow, COTA/L, B.A.
• Sarah Brice Klaverweiden
• James Joseph Klocek, D.P.M.
• Candice L. Klopp, CRNP
• Edward Henry Klopp, MD
• Elizabeth Ann Klos, MSPT
• Panpit Klug, M.D.

• Corneal and Contact Management Optometrist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Corneal and Contact Management Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.