Jeffrey a Klosterman Optometrist Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1674DT Issued in KY

Legal business name

JEFFREY A KLOSTERMAN OPTOMETRIST INC

Practice address

101 S Main St
Harrodsburg, KY 40330-1633

Phone

(859) 734-3697

Fax

(859) 734-3695

NPI assigned

Sep 21, 2006

Last updated

Mar 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Klosterman, O.D.NPI 1720058316

Title

President

Phone

(859) 734-3697

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A. Klosterman, OD

  • Optometrist
  • Harrodsburg, KY
  • NPI 1720058316
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1215036140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403300392",
            "telephone_number": "859-734-3697",
            "fax_number": "859-734-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301633",
            "telephone_number": "859-734-3697",
            "fax_number": "859-734-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A KLOSTERMAN OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-734-3697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1674DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001618",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Island Medical Harrodsburg LLC
• Thomas Cozatt Jackson Jr., MD
• Breonna Elizabeth Jeffries, LCSW
• Abbe Lynn Johnson, LCSW
• Jennifer Webb Johnson
• Timothy Kazimer, PT
• Jennifer Willmott Keller, RPH

• Optometrist in Harrodsburg, KY
• Providers in Harrodsburg, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.