Active NPI
Michael E. Klaich, O.D.
- Optometrist
- Grand Junction, CO
National Provider Identifier
1497927875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1314
- Legal business name
- MICHAEL E. KLAICH, O.D.
- Practice address
- 1306 E Sherwood Dr
Grand Junction, CO 81501-7578 - Phone
- (970) 245-5678
- Fax
- (970) 245-5679
- NPI assigned
- Mar 26, 2008
- Last updated
- Jan 8, 2010
- 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
- Mrs. Lisa Lewellen
- Title
- Office Manager
- Phone
- (970) 245-5678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1314 | CO | Primary |
Addresses
Primary practice location
1306 E Sherwood Dr
Grand Junction, CO 81501-7578
Mailing address
1306 E Sherwood Dr
Grand Junction, CO 81501-7578
Phone (970) 245-5678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930017599 | CO | DME Supplier - Physician - Optometrist | 5890852917 | Practice locations: Grand Junction, CO |
National Provider Directory
National Provider DirectoryLocations
1306 E Sherwood Dr
Grand Junction, CO 81501
Phone (970) 243-8230
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Grand Junction, CO
- NPI 1285676361
-
- Optometrist
- Grand Junction, CO
- NPI 1073556577
-
- Ophthalmology Physician
- Grand Junction, CO
- NPI 1295775195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262908800000",
"number": "1497927875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 E SHERWOOD DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017578",
"telephone_number": "970-245-5678",
"fax_number": "970-245-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 E SHERWOOD DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017578",
"telephone_number": "970-245-5678",
"fax_number": "970-245-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E. KLAICH, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2010-01-08",
"status": "A",
"authorized_official_last_name": "LEWELLEN",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "970-245-5678",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "1314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.