Organization Active NPI

Kleinsorge Family Eyecare Inc

  • Optometrist
  • Stroudsburg, PA
National Provider Identifier
1225390677
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-1754 Issued in PA
Legal business name
KLEINSORGE FAMILY EYECARE INC
Practice address
7740 Rte 611 Stroud Commons
Suite 2a
Stroudsburg, PA 18360-6501
Phone
(570) 421-2332
Fax
(570) 421-5632
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Frank John Kleinsorge, OD
Title
President
Phone
(570) 242-8957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG-1754 PA Primary

Addresses

Primary practice location

7740 Rte 611 Stroud Commons
Suite 2a
Stroudsburg, PA 18360-6501

Mailing address

5520 Elmwood Drive
Tannersville, PA 18372-7746
Phone (570) 242-8957

National Provider Directory

National Provider Directory

Locations

1619 N 9th St
Ste 13
Stroudsburg, PA 18360
Phone (570) 420-7939

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1225390677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 ELMWOOD DRIVE",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183727746",
            "telephone_number": "570-242-8957",
            "fax_number": "570-421-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 RTE 611 STROUD COMMONS",
            "address_2": "SUITE 2A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606501",
            "telephone_number": "570-421-2332",
            "fax_number": "570-421-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEINSORGE FAMILY EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "KLEINSORGE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-242-8957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.