Nelson C Klaus Jr., OD
Individual provider Active NPI Optometrist · Wilmington, NC
NPI 1407803448 · NPPES record last updated Mar 11, 2008
Key facts
- NPI
- 1407803448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 899 (NC)
- Practice address
- 3910 Shipyard Blvd
Wilmington, NC 28403-6151 - Phone
- (910) 799-0220
- Fax
- (910) 799-0478
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlantic Vision Center OD PLLC
Practice addresses (Care Compare)
3910 Shipyard Blvd
Wilmington, NC 28403-6151
Phone (910) 799-0220
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100215000669 | NC | Practitioner - Optometry | 8729122775 |
Reassigns benefits to 1 organization Practice locations: Wilmington, NC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Vision Center OD PLLC | Optometrist | Current |
Accepting new patients |
| Nelson C Klaus Jr OD | Optometrist | Current |
Accepting new patients |
Locations
3910 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 799-0220
Interoperability endpoints
- drklaus@atlanticvisioncenter.eyefinity-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 899 | NC | Yes |
| Corneal and Contact Management Optometrist | 152WC0802X | 899 | NC | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 899 | NC |
Addresses
Primary practice location
3910 Shipyard Blvd
Wilmington, NC 28403-6151
Mailing address
3910 Shipyard Blvd
Wilmington, NC 28403-6151
Phone (910) 799-0220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09492 | Other | NC | BLUE CROSS BLUE SHIELD |
| 2220221 | Other | NC | UNITED HEALTH CARE |
| 8909492 | Medicaid | NC |
Other providers in Wilmington, NC
- Timothy S Kitchens
- Rex Allison Kiteley II
- Joseph W Kittinger III
- Ellen Beth Klaenhammer
- Traci Lynn Klasing
- Klein Psychotherapy & Consulting, PC
- Barbara C Klein
- Jennifer Klein
- Kenedi Jason Klein
- Sara Ashley Klein
All providers in Wilmington, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.