Active NPI
Deborah L Klimek, MD, PLLC
Doing business as Children's Eye Care & Adult Strabismus Surgery
- Medical Specialty Clinic/Center
- South Charleston, WV
National Provider Identifier
1437361284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 55593
- Legal business name
- DEBORAH L KLIMEK, MD, PLLC
- Doing business as
- Children's Eye Care & Adult Strabismus Surgery
- Practice address
- 24 Maccorkle Ave SW
Suite 203
South Charleston, WV 25303-1476 - Phone
- (304) 720-7001
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Klimek, MD
- Title
- Managing Member
- Phone
- (304) 720-7001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 55593 | WV | Primary |
Addresses
Primary practice location
24 Maccorkle Ave SW
Suite 203
South Charleston, WV 25303-1476
Mailing address
24 Maccorkle Ave SW
Suite 203
South Charleston, WV 25303-1476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004970000 | Medicaid | WV |
Other names 1
- Children's Eye Care & Adult Strabismus Surgery
National Provider Directory
National Provider DirectoryLocations
24 Maccorkle Ave SW
Ste 203
South Charleston, WV 25303
Phone (304) 720-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437361284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MACCORKLE AVE SW",
"address_2": "SUITE 203",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MACCORKLE AVE SW",
"address_2": "SUITE 203",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031476",
"telephone_number": "304-720-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH L KLIMEK, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLIMEK",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "304-720-7001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "WV",
"license": "55593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004970000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Eye Care & Adult Strabismus Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.