Justin Robert Klimchak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003521 Issued in PA

Practice address

100 Robinson Center Dr Ste 2870
Pittsburgh, PA 15205-4831

Phone

(412) 490-0820

Fax

(412) 490-2570

NPI assigned

Jun 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1407414246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROCKY MOUNTAIN CT",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502409",
            "telephone_number": "724-244-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINSON CENTER DR STE 2870",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054831",
            "telephone_number": "412-490-0820",
            "fax_number": "412-490-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMCHAK",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Klepchick, MD
• Thomas Kleyman
• Allison Anna Kliber, M.D.
• Ruth J. Klimasauskas, LPC
• Charlotte Hope Klimasewski
• Kinga Klimowicz, M.D.
• Alex J Kline, MD
• Alyssa Kline, LAPC
• Barbara J Kline, L.C.S.W.
• Barbara J Kline, CRNA

• Optometrist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.