Thomas Kluss, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046 006628 Issued in IL

Practice address

4758 W Madison
Chicago, IL 60644-3615

Phone

(773) 379-5130

Fax

(773) 379-1334

NPI assigned

Jan 25, 2006

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

Other identifiers 1

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 and National Provider Directory roles.

• Bellen Eyecare, LTD

  • Optometrist
  • Chicago, IL
  • NPI 1437386687
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1437129178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 W MADISON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443615",
            "telephone_number": "773-379-5130",
            "fax_number": "773-379-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 W MADISON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443615",
            "telephone_number": "773-379-5130",
            "fax_number": "773-379-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUSS",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046 006628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006628",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Klund, LCSW
• Natalia Montoya Klusacek, APRN, FNP-C
• Sarah Klusak, MS CCC-SLP
• Conor Klusendorf, LPC, CRC
• Andrea Nicole Klusman, DPT
• Victoria Kluss, M.S., OTR/L
• Klutch & Well LLC
• Krzysztof Kluzowski
• Deborah Klyczek, OTR/L
• KM Surgical, P.C.

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.