Individual provider Active NPI

Steven Benjamin Klein, OD

  • Optometrist
  • Linthicum, MD
National Provider Identifier
1477077576
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2593 Issued in MD
Practice address
413 S Camp Meade Rd
Linthicum, MD 21090-2701
Phone
(410) 859-3111
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2593 MD Primary

Addresses

Primary practice location

413 S Camp Meade Rd
Linthicum, MD 21090-2701

Mailing address

7202 Rockland Hills Dr Unit 510
Baltimore, MD 21209-1152
Phone (410) 371-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831000231 MD Practitioner - Optometry 9638442320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Vision Eyecare Inc Optometrist CurrentSince Sep 3, 2020 Accepting new patients

Locations

9613 Harford Rd
Ste I
Parkville, MD 21234
Phone (410) 665-6200

2147 York Rd
Timonium, MD 21093
Phone (410) 252-3100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477077576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 ROCKLAND HILLS DR UNIT 510",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091152",
            "telephone_number": "410-371-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S CAMP MEADE RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902701",
            "telephone_number": "410-859-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "STEVEN",
        "middle_name": "BENJAMIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

Verify at the official NPI Registry.