Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
55593 Issued in WV
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2004970000MedicaidWV

Other names 1

  • Children's Eye Care & Adult Strabismus Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.